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General NPI Number Information
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NPI Number | 1376060285
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Entity Type | Organization
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Legal Business Name | PRINCETON PERINATAL INSTITUTE
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3131 PRINCETON PIKE STE 100
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2201
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Country | US
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Telephone | 609-620-1774
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Fax | 609-620-1775
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Provider Business Mailing Address
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Address Line | 3131 PRINCETON PIKE BUILDING 6 SUITE 100
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City | LAWRENCEVILLE NJ
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State | NJ
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Zip | 08648
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Country | US
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Telephone | 609-620-1774
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MYRIAM MONDESTIN-SORRENTINO
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Credential | MD
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Telephone | 609-620-1774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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