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31D0122551 CLIA NUMBER - PENN PRINCETON PRIMARY CARE HAMILTON SQUARE

Laboratory Demographics

CLIA Number: 31D0122551

Facility Name: PENN PRINCETON PRIMARY CARE HAMILTON SQUARE

Facility Address:
2275 STATE HIGHWAY 33
HAMILTON SQUARE, NJ
ZIP 08690
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Facility Phone Number: 609 586-6006

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1669544003

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 31D0122551
LAB Type Physician Office
Facility Name PENN PRINCETON PRIMARY CARE HAMILTON SQUARE
Street 2275 STATE HIGHWAY 33
City HAMILTON SQUARE
State NJ
ZIP 08690
Phone 609 586-6006
CertificateType 4
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024