Provider Demographics
NPI:1770710576
Name:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Entity type:Organization
Organization Name:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
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:609-853-7220
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:609-734-7601
Mailing Address - Fax:609-844-1092
Practice Address - Street 1:401 RIDGE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-3300
Practice Address - Country:US
Practice Address - Phone:732-329-4800
Practice Address - Fax:732-329-0445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-18
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty