Provider Demographics
NPI:1841442704
Name:PLAINSBORO-PRINCETON MEDICAL ASSOCIATES PC
Entity type:Organization
Organization Name:PLAINSBORO-PRINCETON MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKRALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-799-5000
Mailing Address - Street 1:666 PLAINSBORO RD.
Mailing Address - Street 2:SUITE #1020
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536
Mailing Address - Country:US
Mailing Address - Phone:609-799-5000
Mailing Address - Fax:609-799-8170
Practice Address - Street 1:666 PLAINSBORO RD.
Practice Address - Street 2:SUITE #1020
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536
Practice Address - Country:US
Practice Address - Phone:609-799-5000
Practice Address - Fax:609-799-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7982003Medicaid
NJG19653Medicare UPIN