| Princeton House Physician Group | |
|
905 Herrontown Rd Princeton NJ 08540-1901 | |
| (609) 497-3300 | |
| Not Available |
| Full Name | Princeton House Physician Group |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 905 Herrontown Rd, Princeton, New Jersey |
| Authorized Official Name and Position | Richard Wohl (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 6094973300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton House Physician Group 905 Herrontown Rd Princeton NJ 08540-1901 Ph: (609) 497-3300 | Princeton House Physician Group 905 Herrontown Rd Princeton NJ 08540-1901 Ph: (609) 497-3300 |
| NPI Number | 1841387073 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841387073 | NPI | - | NPPES |
| 4617703 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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