Organization
PRINCETON HEALTHCARE PROVIDER GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILHERME VALLADARES (SVP, CHIEF FINANCIAL OFFICER)
(609) 853-7107
Entity
Organization
Contact information
Practice address
1 PLAINSBORO ROAD, PLAINSBORO, NJ 08536
(609) 853-7619
(609) 853-7602
Mailing address
PO BOX 824320, PHILIDELPHIA, PA 19182
(800) 406-1177
(609) 844-1092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7767200
—
NJ
Enumeration date
05/18/2007
Last updated
05/06/2021
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