Individual
MARK ALLEN SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 BUNN DR, SUITE 302, PRINCETON, NJ 08540-1968
(609) 921-1680
(609) 921-1438
Mailing address
800 BUNN DR, SUITE 302, PRINCETON, NJ 08540-1968
(609) 921-1680
(609) 921-1438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04680500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271656004
TAX ID # PRINCETON PREMIER MEDICINE, LLC
NJ
Enumeration date
02/12/2007
Last updated
03/11/2012
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