Organization
UROLOGY GROUP OF PRINCETON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MATHIASEN MBA (ADMINISTRATOR)
(609) 924-6487
Entity
Organization
Contact information
Practice address
281 WITHERSPOON ST, SUITE 100, PRINCETON, NJ 08540-3210
(609) 924-6487
(609) 921-7020
Mailing address
281 WITHERSPOON ST, SUITE 100, PRINCETON, NJ 08540-3210
(609) 924-6487
(609) 921-7020
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
11/02/2011
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