Premier Health Of Summit Llc | |
47 Maple St, Suite 103, Summit, NJ 07901-2571 | |
(973) 839-1003 | |
(973) 839-3653 |
Full Name | Premier Health Of Summit Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 47 Maple St, Summit, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083854566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00656700 (New Jersey) | Primary |
Provider Name | Brian D Anderson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700078102 PECOS PAC ID: 8729156922 Enrollment ID: I20081001000042 |
Mailing Address | Practice Location Address |
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Premier Health Of Summit Llc 47 Maple St, Suite 103, Summit, NJ 07901-2571 Ph: (973) 839-1003 | Premier Health Of Summit Llc 47 Maple St, Suite 103, Summit, NJ 07901-2571 Ph: (973) 839-1003 |
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