Organization
PRINCETON DERMATOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERICK T KAUFMANN JR. (OWNER)
(609) 683-4999
Entity
Organization
Contact information
Practice address
208 BUNN DR, PRINCETON, NJ 08540-2851
(609) 683-4999
(609) 683-0298
Mailing address
208 BUNN DR, PRINCETON, NJ 08540-2851
(609) 683-4999
(609) 683-0298
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152529000
AMERIHEALTH
NJ
01
—
DA1887
RAILROAD MEDICARE
NJ
Enumeration date
04/19/2006
Last updated
09/18/2025
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