Provider Demographics
NPI:1568818623
Name:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Entity Type:Organization
Organization Name:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Other - Org Name:HIGHTSTOWN MEDICAL ASSOCIATES - 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:MD PHD
Authorized Official - Phone:609-853-7180
Mailing Address - Street 1:4 PRINCESS RD
Mailing Address - Street 2:SUITE 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 1:186 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:BUILDING 3A, STE 101
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-1668
Practice Address - Country:US
Practice Address - Phone:609-443-1150
Practice Address - Fax:609-779-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty