| Princeton Healthcare Provider Group Llc | |
|
1 Plainsboro Road Plainsboro NJ 08536 | |
| (609) 853-7619 | |
| (609) 853-7602 |
| Full Name | Princeton Healthcare Provider Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Plainsboro Road, Plainsboro, New Jersey |
| Authorized Official Name and Position | Guilherme Valladares (SVP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6098537107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton Healthcare Provider Group Llc Po Box 824320 Philidelphia PA 19182 Ph: (800) 406-1177 | Princeton Healthcare Provider Group Llc 1 Plainsboro Road Plainsboro NJ 08536 Ph: (609) 853-7619 |
| NPI Number | 1285842823 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285842823 | NPI | - | NPPES |
| 7767200 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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