Organization
PRINCETON HEALTHCARE PROVIDER GROUP LLC
Active
Parent organization
PRINCETON HEALTHCARE PROVIDER GROUP LLC
Other names
Princeton Medicine Specialty Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCETON HEALTHCARE PROVIDER GROUP LLC
Authorized official
KATHRYN J ROBISON MD (PRESIDENT)
(609) 853-7220
Entity
Organization
Contact information
Practice address
1 PLAINSBORO RD, PLAINSBORO, NJ 08536-1913
(609) 853-7885
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
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500739
—
NJ
Enumeration date
08/14/2015
Last updated
01/26/2021
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