Healthcare Provider Details
I. General information
NPI: 1417039959
Provider Name (Legal Business Name): PLAINSBORO FAMILY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2006
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
666 PLAINSBORO RD SUITE 1316
PLAINSBORO NJ
08536-3047
US
IV. Provider business mailing address
666 PLAINSBORO RD SUITE 1316
PLAINSBORO NJ
08536-3047
US
V. Phone/Fax
- Phone: 609-275-8100
- Fax: 609-275-6133
- Phone: 609-275-8100
- Fax: 609-275-6133
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDREW
HARRIS
SOKEL
Title or Position: PARTNER
Credential: MD
Phone: 609-275-8100