Provider Demographics
NPI:1437300803
Name:PRINCETON PLAINSBORO OBSTETRICS & GYNECOLOGY
Entity Type:Organization
Organization Name:PRINCETON PLAINSBORO OBSTETRICS & GYNECOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-921-1500
Mailing Address - Street 1:601 EWING ST
Mailing Address - Street 2:SUITE A4
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2757
Mailing Address - Country:US
Mailing Address - Phone:609-921-1500
Mailing Address - Fax:609-497-1444
Practice Address - Street 1:601 EWING ST
Practice Address - Street 2:SUITE A4
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2757
Practice Address - Country:US
Practice Address - Phone:609-921-1500
Practice Address - Fax:609-497-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 046254207V00000X
NJMA02702800207V00000X
NJMA05325900207V00000X
NJMA03016500207VG0400X
NJMA01767600207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty