Healthcare Provider Details

I. General information

NPI: 1528274057
Provider Name (Legal Business Name): PRINCETON UNIVERSITY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 GARBER DR
YARDLEY PA
19067-7342
US

IV. Provider business mailing address

201 GARBER DR
YARDLEY PA
19067-7342
US

V. Phone/Fax

Practice location:
  • Phone: 215-295-1289
  • Fax:
Mailing address:
  • Phone: 215-295-1289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. ANN EDITH CUNLIFFE MARTIN
Title or Position: STAFF NURSE
Credential: RN
Phone: 609-258-3139