Princeton Healthcare Provider Group Llc

LBN: Princeton Healthcare Provider Group Llc
Princeton Healthcare Provider Group Llc is an health care organization with primary practice located at 1 Plainsboro Road , Plainsboro NJ 08536. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Princeton Healthcare Provider Group Llc can be contacted via phone (609) 853-7619, or through Valladares, Guilherme via phone (609) 853-7107.

Contact Information

Primary practice address
1 Plainsboro Road Plainsboro NJ 08536
Phone: (609) 853-7619
Fax: (609) 853-7602
Website:
Map and Directions
Authorized official contact:
Name: Valladares, Guilherme
Phone: (609) 853-7107

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1285842823
LBN Legal business name Princeton Healthcare Provider Group Llc
DBA Doing business as
Authorized official Valladares, Guilherme
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated May 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285842823 NPPES
New Jersey MEDICAID 7767200

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