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General NPI Number Information
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NPI Number | 1386617728
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Entity Type | Organization
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Legal Business Name | PRINCETON SURGICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 5 PLAINSBORO RD SUITE 400
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1915
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Country | US
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Telephone | 609-936-9100
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Fax | 609-936-9200
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Provider Business Mailing Address
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Address Line | 5 PLAINSBORO RD SUITE 400
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1915
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Country | US
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Telephone | 609-936-9100
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Fax | 609-936-9200
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH A GOLDMAN
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Credential | MD
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Telephone | 609-936-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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