Healthcare Provider Details

I. General information

NPI: 1366625576
Provider Name (Legal Business Name): PRINCETON PLAINSBORO PHYSICIAN ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 WITHERSPOON ST
PRINCETON NJ
08540-3211
US

IV. Provider business mailing address

66 W GILBERT ST 2ND FLOOR
RED BANK NJ
07701-4918
US

V. Phone/Fax

Practice location:
  • Phone: 609-497-4000
  • Fax:
Mailing address:
  • Phone: 732-212-0051
  • Fax: 732-212-0713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. JOSEPH JOHN CALABRO
Title or Position: PRESIDENT
Credential: DO
Phone: 732-212-0060