Organization
PREMIER GASTROENTEROLOGY OF PRINCETON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUNITHA SHIVAPRASAD MD (PRESIDENT)
(609) 647-5562
Entity
Organization
Contact information
Practice address
5 PLAINSBORO RD STE 360, PLAINSBORO, NJ 08536-1915
(609) 647-5562
Mailing address
27 TARA WAY, PENNINGTON, NJ 08534-2100
(609) 647-5562
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB09222600
NJ
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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