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NPI Code Detail

MEDICARE: PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC

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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician
2363LF0000XFamily Nurse Practitioner
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1902201163
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 : SUITE 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 : 540 RIDGE RD
Second Line :
City : MONMOUTH JUNCTION
State : NJ
Zip : 08852-2643
Country : US
Telephone Number : 609-497-2230
Fax Number : 732-274-0235
Authorized Official
Title or Position : PRESIDENT
Name : STEVEN R. BERGMANN
Credential : MD PHD
Telephone Number : 609-853-7220
Provider Enumeration Date : 10/30/2014
Last Update Date : 11/16/2020

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Directions to “PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC ” Practice Location

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