Organization
PRINCETON MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA GUMMEL (CHIEF FINANCIAL OFFICER)
(609) 924-9300
Entity
Organization
Contact information
Practice address
3 LIBERTY ST, PLAINSBORO, NJ 08536-2084
(609) 924-9300
Mailing address
419 N HARRISON ST, SUITE 203, PRINCETON, NJ 08540-3521
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA07729700
NJ
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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