MEDICARE: PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1023493806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC

Provider Business Mailing Address
First Line	:	4 PRINCESS RD
Second Line	:	STE 207
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2322
Country	:	US
Telephone Number	:	609-243-0445
Fax Number	:	609-844-1092

Provider Business Practice Location Address
First Line	:	390 AMWELL RD
Second Line	:	STE 405
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-1247
Country	:	US
Telephone Number	:	908-281-1199
Fax Number	:	908-281-4311

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN R BERGMANN
Credential	:
Telephone Number	:	609-853-7220

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	11/27/2023

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