Healthcare Provider Details

I. General information

NPI: 1649100975
Provider Name (Legal Business Name): WATERSHED MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 VILLAGE BLVD STE 200
PRINCETON NJ
08540-5700
US

IV. Provider business mailing address

116 VILLAGE BLVD STE 200
PRINCETON NJ
08540-5700
US

V. Phone/Fax

Practice location:
  • Phone: 609-337-2737
  • Fax:
Mailing address:
  • Phone: 609-337-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC REED
Title or Position: OWNER
Credential:
Phone: 609-337-2737