31D0974671 CLIA NUMBER - PENN PRINCETON PRIMARY CARE DAYTON

Laboratory Demographics

CLIA Number: 31D0974671

Facility Name: PENN PRINCETON PRIMARY CARE DAYTON

Facility Address:
401 RIDGE ROAD SUITE # 6
DAYTON, NJ
ZIP 08810
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Facility Phone Number: 732 329-4800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770710576

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D0974671
LAB Type	Physician Office
Facility Name	PENN PRINCETON PRIMARY CARE DAYTON
Street	401 RIDGE ROAD SUITE # 6
City	DAYTON
State	NJ
ZIP	08810
Phone	732 329-4800
CertificateType	4
CertificateEffectiveDate	5/27/2023
CertificateExpirationDate	5/26/2025
FacilityType	Waiver

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