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Organization

PRINCETON ROAD PEDIATRICS, PA

Active
Other names
Rebecca F Notterman MD PA
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DENISE ALICIA GARCIA (SITE/BILLING MANAGER)
(609) 448-8280
Entity
Organization

Contact information

Practice address
251 PRINCETON HIGHTSTOWN ROAD, SUITE 4, EAST WINDSOR, NJ 08520
(609) 448-8280
(609) 395-1978
Mailing address
251 PRINCETON HIGHTSTOWN ROAD, SUITE 4, EAST WINDSOR, NJ 08520
(609) 448-8280
(609) 395-1978

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA03948900
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
25MA03948900
NJ
261QP2300X
Primary Care Clinic/Center
Primary
25MA03948900
NJ
261QP2300X
Primary Care Clinic/Center
MA015133
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1857908
NJ
Enumeration date
05/14/2008
Last updated
03/20/2015
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