Provider Demographics
NPI:1528251303
Name:PRINCETON INTEGRATED HEALTHCARE
Entity type:Organization
Organization Name:PRINCETON INTEGRATED HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-688-9200
Mailing Address - Street 1:10 VREELAND DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2620
Mailing Address - Country:US
Mailing Address - Phone:609-688-9200
Mailing Address - Fax:609-688-9234
Practice Address - Street 1:10 VREELAND DR
Practice Address - Street 2:SUITE 106
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2620
Practice Address - Country:US
Practice Address - Phone:609-688-9200
Practice Address - Fax:609-688-9234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ095221Medicare PIN