Organization
PRINCETON HEALTHCARE PROVIDER GROUP LLC
Active
Other names
Bristol Myers Squibb Community Health Clinic-Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GUILHERME VALLADARES (SR VICE PRESIDENT, CHIEF FINANCIAL)
(609) 853-7107
Entity
Organization
Contact information
Practice address
1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
(609) 853-7600
(609) 853-7602
Mailing address
PO BOX 824320, PHILADELPHIA, PA 19182-4320
(800) 406-1177
(609) 844-1092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6172300
—
NJ
Enumeration date
05/18/2007
Last updated
05/06/2021
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