Provider Demographics
NPI:1558317669
Name:CARDIOLOGY ASSOCIATES OF PRINCETON PA
Entity Type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF PRINCETON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-921-7456
Mailing Address - Street 1:281 WITHERSPOON ST
Mailing Address - Street 2:210
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3210
Mailing Address - Country:US
Mailing Address - Phone:609-921-7456
Mailing Address - Fax:
Practice Address - Street 1:281 WITHERSPOON ST
Practice Address - Street 2:210
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3210
Practice Address - Country:US
Practice Address - Phone:609-921-7456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ14427OtherAMERIHEALTH PPO GROUP NUM
0033171OtherGHI
0158104000OtherAMERIHEALTH
NJCB7254OtherMEDICARE RAILROAD
NJ685022OtherUNITEDHEALTHCARE GRP
NJ2796970Medicaid
0158104001OtherKEYSTONE-AMERIHEALTH
NJ34947OtherAETNA GRP NUMBER
NJCB7254Medicare PIN
NJ2796970Medicaid