Provider Demographics
NPI:1093086456
Name:PRINCETON CENTER FOR CLINICAL RESEARCH
Entity Type:Organization
Organization Name:PRINCETON CENTER FOR CLINICAL RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:PEDINOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-986-0328
Mailing Address - Street 1:24 VREELAND DR
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2621
Mailing Address - Country:US
Mailing Address - Phone:609-986-0328
Mailing Address - Fax:775-628-5322
Practice Address - Street 1:24 VREELAND DR
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2621
Practice Address - Country:US
Practice Address - Phone:609-986-0328
Practice Address - Fax:775-628-5322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Single Specialty