Provider Demographics
NPI:1730226036
Name:PRINCETON OTOLARYNGOLOGY ASSOC P A
Entity type:Organization
Organization Name:PRINCETON OTOLARYNGOLOGY ASSOC P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-897-0203
Mailing Address - Street 1:7 SCHALKS CROSSING RD
Mailing Address - Street 2:SUITE 324
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1621
Mailing Address - Country:US
Mailing Address - Phone:609-897-0203
Mailing Address - Fax:609-897-0213
Practice Address - Street 1:7 SCHALKS CROSSING RD
Practice Address - Street 2:SUITE 324
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1621
Practice Address - Country:US
Practice Address - Phone:609-897-0203
Practice Address - Fax:609-897-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF31644Medicare UPIN