Provider Demographics
NPI:1114515079
Name:PRIMARY HEALTH NJ
Entity Type:Organization
Organization Name:PRIMARY HEALTH NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAYTHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBIZEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-252-6408
Mailing Address - Street 1:5600 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-3232
Mailing Address - Country:US
Mailing Address - Phone:267-252-6408
Mailing Address - Fax:
Practice Address - Street 1:3379 QUAKERBRIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1269
Practice Address - Country:US
Practice Address - Phone:609-695-4422
Practice Address - Fax:888-501-3503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty