| Princeton/corner House | |
|
1 Monument Dr Princeton NJ 08540-3406 | |
| (609) 924-8018 | |
| (609) 688-2045 |
| Full Name | Princeton/corner House |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Monument Dr, Princeton, New Jersey |
| Authorized Official Name and Position | Gary J. De Blasio (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6099248018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton/corner House 1 Monument Dr Princeton NJ 08540-3036 Ph: (609) 924-8018 | Princeton/corner House 1 Monument Dr Princeton NJ 08540-3406 Ph: (609) 924-8018 |
| NPI Number | 1720145410 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 09/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720145410 | NPI | - | NPPES |
| 0540358 | Medicaid | NJ | |
| 0100200 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 41140 (New Jersey) | Primary |
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