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31D0961784 CLIA NUMBER - PENN PRINCETON PRIMARY CARE LAWRENCEVILLE

Laboratory Demographics

CLIA Number: 31D0961784

Facility Name: PENN PRINCETON PRIMARY CARE LAWRENCEVILLE

Facility Address:
3100 PRINCETON PIKE BLDG 3
LAWRENCEVILLE, NJ
ZIP 08648
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Facility Phone Number: 609 896-1793

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073519591

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 31D0961784
LAB Type Physician Office
Facility Name PENN PRINCETON PRIMARY CARE LAWRENCEVILLE
Street 3100 PRINCETON PIKE BLDG 3
City LAWRENCEVILLE
State NJ
ZIP 08648
Phone 609 896-1793
CertificateType 4
CertificateEffectiveDate 6/17/2023
CertificateExpirationDate 6/16/2025
FacilityType Waiver

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