Provider Demographics
NPI:1194017475
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:
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 STE 207
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2322
Mailing Address - Country:US
Mailing Address - Phone:609-234-0445
Mailing Address - Fax:609-844-1092
Practice Address - Street 1:1 UNION ST STE 106
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-4219
Practice Address - Country:US
Practice Address - Phone:609-252-8756
Practice Address - Fax:609-208-2847
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty