Healthcare Provider Details

I. General information

NPI: 1912463498
Provider Name (Legal Business Name): DHP OF PRINCETON, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PLAINSBORO RD
PLAINSBORO NJ
08536-1913
US

IV. Provider business mailing address

2966 S CHURCH ST. PMB 315
BURLINGTON NC
27215
US

V. Phone/Fax

Practice location:
  • Phone: 609-853-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: AIMEE CUMMINGS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 954-835-2852