Healthcare Provider Details

I. General information

NPI: 1437300803
Provider Name (Legal Business Name): PRINCETON PLAINSBORO OBSTETRICS & GYNECOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2008
Last Update Date: 10/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 EWING ST SUITE A4
PRINCETON NJ
08540-2757
US

IV. Provider business mailing address

601 EWING ST SUITE A4
PRINCETON NJ
08540-2757
US

V. Phone/Fax

Practice location:
  • Phone: 609-921-1500
  • Fax: 609-497-1444
Mailing address:
  • Phone: 609-921-1500
  • Fax: 609-497-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA02702800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA05325900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMA03016500
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMA01767600
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA 046254
License Number StateNJ

VIII. Authorized Official

Name: DR. JEFFREY HOFMAN
Title or Position: ADMINISTRATOR
Credential: M.D.
Phone: 609-921-1500