Organization
PRINCETON DERMATOLOGY ASSOCIATES KENDALL PARKPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERICK T KAUFMANN JR. M.D. (PRESIDENT)
(609) 683-4999
Entity
Organization
Contact information
Practice address
1543 STATE HIGHWAY 27, SUITE31, SOMERSET, NJ 08873-3904
(732) 297-8866
(732) 821-0626
Mailing address
301 N HARRISON ST, SUITE 1E, PRINCETON, NJ 08540-3512
(609) 683-4999
(609) 683-0298
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099064000
AMERIHEALTH
NJ
01
—
CJ5645
RAILROAD MEDICARE
NJ
Enumeration date
05/01/2006
Last updated
07/21/2022
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