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General NPI Number Information
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NPI Number | 1770710576
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Entity Type | Organization
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Legal Business Name | PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 401 RIDGE RD SUITE 6
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City | DAYTON
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State | NJ
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Zip | 08810-3300
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Country | US
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Telephone | 732-329-4800
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Fax | 732-329-0445
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Provider Business Mailing Address
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Address Line | 4 PRINCESS RD SUITE 207
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2322
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Country | US
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Telephone | 609-734-7601
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Fax | 609-844-1092
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN R BERGMANN
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Credential | M.D. PHD
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Telephone | 609-853-7220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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