Organization
SIGNIFY HEALTH MEDICAL ASSOCIATES OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHAWN BRONKE (MANAGER, PROVIDER ENROLLMENT)
(694) 909-6446
Entity
Organization
Contact information
Practice address
116 VILLAGE BLVD STE 200, PRINCETON, NJ 08540-5700
(877) 868-5351
Mailing address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
(972) 715-3800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/30/2019
Last updated
04/15/2025
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