Organization
PRINCETON HOUSE PHYSICIAN GROUP
Active
Organization
PRINCETON HOUSE PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WOHL (SENIOR VICE PRESIDENT)
(609) 497-3300
Entity
Organization
Contact information
Practice address
905 HERRONTOWN RD, PRINCETON, NJ 08540-1901
(609) 497-3300
Mailing address
905 HERRONTOWN RD, PRINCETON, NJ 08540-1901
(609) 497-3300
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4617703
—
NJ
Enumeration date
10/09/2006
Last updated
08/22/2020
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