# PRINCETON HEALTHCARE PROVIDER GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRINCETON HEALTHCARE PROVIDER GROUP LLC
- **Other names:** Princeton Medicine Specialty Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699141507
- **Legal business name:** PRINCETON HEALTHCARE PROVIDER GROUP LLC
- **Authorized official:** KATHRYN J ROBISON MD (PRESIDENT)
- **Authorized official phone:** (609) 853-7220

## Contact information

- **Practice address:** 1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
- **Practice address phone:** (609) 853-7885
- **Mailing address:** 4 PRINCESS RD, SUITE 207, LAWRENCEVILLE, NJ 08648-2322
- **Mailing address phone:** (609) 243-0445
- **Mailing address fax:** (609) 844-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/14/2015
- **Last updated:** 01/26/2021