Provider Demographics
NPI:1477641660
Name:PRINCETON ALLERGY & ASTHMA ASSOCIATES, PA
Entity Type:Organization
Organization Name:PRINCETON ALLERGY & ASTHMA ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAUCINO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-921-2202
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:609-921-2202
Mailing Address - Fax:609-924-1468
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:609-921-2202
Practice Address - Fax:609-924-1468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ526603Medicare ID - Type Unspecified