# PRINCETON HEALTHCARE PROVIDER GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285842823
- **Authorized official:** GUILHERME VALLADARES (SVP, CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (609) 853-7107

## Contact information

- **Practice address:** 1 PLAINSBORO ROAD, PLAINSBORO, NJ 08536
- **Practice address phone:** (609) 853-7619
- **Practice address fax:** (609) 853-7602
- **Mailing address:** PO BOX 824320, PHILIDELPHIA, PA 19182
- **Mailing address phone:** (800) 406-1177
- **Mailing address fax:** (609) 844-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 05/06/2021