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Organization
PRINCETON MEDICAL GROUP,P.A.
Active
Organization
PRINCETON MEDICAL GROUP,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSANA S GUMMEL (CFO)
(609) 924-9300
Entity
Organization
Contact information
Practice address
419 N HARRISON ST, SUITE 203, PRINCETON, NJ 08540-3521
(609) 924-9300
(609) 430-9481
Mailing address
419 N HARRISON ST, SUITE 203, PRINCETON, NJ 08540-3521
(609) 924-9300
(609) 430-9481
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
NULL
207UN0901X
Nuclear Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
09/26/2006
Last updated
11/01/2024
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