Primary Holistic Care Llc
Primary Care Clinic/Center in Tinton Falls, NJ(View on Map)
Legal Business Name
Primary Holistic Care Llc
NPI Number
1508554742
NPI Type
Organization
Enumeration Date
04/26/2023
Specialties
(Taxonomies)Code
261QP2300X
251S00000X
261QH0100X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
531 TINTON AVE
531 TINTON AVE
City
Tinton Falls
Tinton Falls
State
NJ
NJ
Postal Code
07724-3211
07724-3211
Country
US
US
Telephone Number
(848) 404-6717
(848) 404-6717
Authorized Official
Name
Ashley Flannelly
Title or Position
NURSE PRACTITIONER
Telephone Number
(848) 404-6717
Identifiers
Identifier
1548975840.
Identifier State
NJ
Identifier Issuer
NEW JERSEY
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/26/2023
Provider Address
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