Provider Demographics
NPI:1518362086
Name:PRIORITY HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:PRIORITY HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:THRIVENI
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARNALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-342-4708
Mailing Address - Street 1:1 ETHEL RD
Mailing Address - Street 2:SUITE 106 A
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2838
Mailing Address - Country:US
Mailing Address - Phone:908-342-4708
Mailing Address - Fax:
Practice Address - Street 1:1 ETHEL RD
Practice Address - Street 2:SUITE 106 A
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2838
Practice Address - Country:US
Practice Address - Phone:908-342-4708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08467000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty