Provider Demographics
NPI:1114397650
Name:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Entity Type:Organization
Organization Name:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Other - Org Name:ANN E SMELKINSON MD - PRINCETON MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BERGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-853-7220
Mailing Address - Street 1:4 PRINCESS RD
Mailing Address - Street 2:STE 207
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2322
Mailing Address - Country:US
Mailing Address - Phone:609-243-0445
Mailing Address - Fax:609-844-1092
Practice Address - Street 1:2650 US HIGHWAY 130
Practice Address - Street 2:STE F
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3327
Practice Address - Country:US
Practice Address - Phone:609-860-8000
Practice Address - Fax:609-860-8004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty