Healthcare Provider Details

I. General information

NPI: 1093086456
Provider Name (Legal Business Name): PRINCETON CENTER FOR CLINICAL RESEARCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2012
Last Update Date: 01/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 VREELAND DR
SKILLMAN NJ
08558-2621
US

IV. Provider business mailing address

24 VREELAND DR
SKILLMAN NJ
08558-2621
US

V. Phone/Fax

Practice location:
  • Phone: 609-986-0328
  • Fax: 775-628-5322
Mailing address:
  • Phone: 609-986-0328
  • Fax: 775-628-5322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW J PEDINOFF
Title or Position: PRESIDENT
Credential: MD
Phone: 609-986-0328