Individual
DR. EDWARD R PRINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 646-0001
(201) 646-9101
Mailing address
5 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 646-0001
(201) 646-9101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA042916
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004213156
AETNA US HEALTHCARE
—
01
—
0109911000
AMERIHEALTH
—
01
—
110131307
RAILROAD MEDICARE
—
01
—
527245
MEDICARE GROUP PROVIDER
—
01
—
80631
AMERIGROUP
—
01
—
BP105
OXFORD HEALTH PLANS
—
Enumeration date
08/09/2005
Last updated
11/15/2010
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