Organization
PRINCETON SPORTS AND FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEVANDOWSKI M.D. (PRESIDENT)
(609) 896-9190
Entity
Organization
Contact information
Practice address
3131 PRINCETON PIKE, BLDG 4A, SUITE 100, LAWRENCEVILLE, NJ 08648-2201
(609) 896-9190
(609) 896-3555
Mailing address
3131 PRINCETON PIKE, BLDG 4A, SUITE 100, LAWRENCEVILLE, NJ 08648-2201
(609) 896-9190
(609) 896-3555
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA0033347
NJ
2085U0001X
Diagnostic Ultrasound Physician
25MA08837900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6677720001
NHIC CORP
NJ
Enumeration date
07/08/2009
Last updated
06/24/2014
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