Healthcare Provider Details

I. General information

NPI: 1194017475
Provider Name (Legal Business Name): PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 11/27/2023
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNION ST STE 106
ROBBINSVILLE NJ
08691-4219
US

IV. Provider business mailing address

4 PRINCESS RD STE 207
LAWRENCEVILLE NJ
08648-2322
US

V. Phone/Fax

Practice location:
  • Phone: 609-252-8756
  • Fax: 609-208-2847
Mailing address:
  • Phone: 609-234-0445
  • Fax: 609-844-1092

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: STEVEN R. BERGMANN
Title or Position: PRESIDENT
Credential: MD, PHD
Phone: 609-853-7220