Healthcare Provider Details

I. General information

NPI: 1780824789
Provider Name (Legal Business Name): WOMENS HEALTHCARE OF PRINCETON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BUNN DR STE 202
PRINCETON NJ
08540-1968
US

IV. Provider business mailing address

800 BUNN DR STE 202
PRINCETON NJ
08540-1968
US

V. Phone/Fax

Practice location:
  • Phone: 609-430-1900
  • Fax: 609-430-1901
Mailing address:
  • Phone: 609-430-1900
  • Fax: 609-430-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA ELENI SOPHOCLES
Title or Position: MD
Credential: MD
Phone: 609-430-1900