Healthcare Provider Details

I. General information

NPI: 1912937616
Provider Name (Legal Business Name): PRINCETON-WINDSOR OBSTETRICS AND GYNECOLOGY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 PRINCETON HIGHTSTOWN RD SUITE 101
PRINCETON JUNCTION NJ
08550-1100
US

IV. Provider business mailing address

88 PRINCETON HIGHTSTOWN RD SUITE 101
PRINCETON JUNCTION NJ
08550-1100
US

V. Phone/Fax

Practice location:
  • Phone: 609-799-5616
  • Fax: 609-716-9010
Mailing address:
  • Phone: 609-799-5616
  • Fax: 609-716-9010

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: DANIEL W SHAPIRO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 609-799-5616