Provider Demographics
NPI:1417039959
Name:PLAINSBORO FAMILY PHYSICIANS
Entity Type:Organization
Organization Name:PLAINSBORO FAMILY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:SOKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-275-8100
Mailing Address - Street 1:666 PLAINSBORO RD
Mailing Address - Street 2:SUITE 1316
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3047
Mailing Address - Country:US
Mailing Address - Phone:609-275-8100
Mailing Address - Fax:609-275-6133
Practice Address - Street 1:666 PLAINSBORO RD
Practice Address - Street 2:SUITE 1316
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3047
Practice Address - Country:US
Practice Address - Phone:609-275-8100
Practice Address - Fax:609-275-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0146578001OtherAMERIHEALTH
NJ2666OtherAETNA
NJ3301605Medicaid
NJ0146578001OtherAMERIHEALTH
NJ=========OtherHORIZON
NJ2666OtherAETNA
NJ2666OtherAETNA