# PRINCIPIUM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Principium
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205592482
- **Authorized official:** MARYANN MATHIEU (BILLING MANAGER)
- **Authorized official phone:** (508) 418-6888

## Contact information

- **Practice address:** 128 MAIN ST STE 5, STURBRIDGE, MA 01566-1556
- **Practice address phone:** (508) 659-8585
- **Practice address fax:** (508) 659-8586
- **Mailing address:** 128 MAIN ST STE 5, STURBRIDGE, MA 01566-1556
- **Mailing address phone:** (508) 659-8585
- **Mailing address fax:** (508) 659-8586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2021
- **Last updated:** 11/12/2021