Provider Demographics
NPI:1467599852
Name:UNION PRIMARY CARE ASSOCIATES,LLC
Entity Type:Organization
Organization Name:UNION PRIMARY CARE ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CALAMARI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-686-9000
Mailing Address - Street 1:440 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3100
Mailing Address - Country:US
Mailing Address - Phone:908-686-9000
Mailing Address - Fax:908-686-5575
Practice Address - Street 1:440 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3100
Practice Address - Country:US
Practice Address - Phone:908-686-9000
Practice Address - Fax:908-686-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB064249207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8159408Medicaid
022345Medicare ID - Type Unspecified