Organization
PRINCETON SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TRAUB (CFO)
(609) 243-0445
Entity
Organization
Contact information
Practice address
253 WITHERSPOON ST, PRINCETON, NJ 08540-3211
(609) 495-4000
Mailing address
4 PRINCESS RD, SUITE #207, LAWRENCEVILLE, NJ 08648-2322
(609) 243-0445
(609) 844-1092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001279
—
NJ
Enumeration date
06/24/2006
Last updated
01/22/2009
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