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Contact Information

PRINCETON PATHOLOGY SERVICES PA
111 CENTRAL AVE
NEWARK, NJ07102-1909
 Phone: 407-422-9831
 Fax: 302-416-6097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PRINCETON PATHOLOGY SERVICES PA

NPI # 1942498985
LBN Legal business name PRINCETON PATHOLOGY SERVICES PA
Authorized official MARIO GONZALEZ - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2007
Last updated 04/10/2025 - More than a year ago
Identifiers
NJ Medicaid 0083151
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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