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Organization

PRINCETON MEDICAL & AESTHETICS CENTER LLC

Active
Other names
PRINCETON MEDICAL & AESTHETICS CENTER LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHIVA JETTY MD (MD)
(609) 874-0070
Entity
Organization

Contact information

Practice address
61 PRINCETON HIGHTSTOWN RD # 2C, PRINCETON JUNCTION, NJ 08550-1120
(609) 874-0070
(609) 874-0029
Mailing address
61 PRINCETON HIGHTSTOWN RD # 2C, PRINCETON JUNCTION, NJ 08550-1120
(609) 874-0070
(609) 874-0029

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/19/2021
Last updated
02/19/2021
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