| Psi Summit Professional Group | |
|
19 Prospect St Summit NJ 07901-2530 | |
| (800) 753-5223 | |
| Not Available |
| Full Name | Psi Summit Professional Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19 Prospect St, Summit, New Jersey |
| Authorized Official Name and Position | Pat Hoffman (CREDENTIALING AGENT) |
| Authorized Official Contact | 8007781242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psi Summit Professional Group 19 Prospect St Summit NJ 07901-2530 Ph: (800) 753-5223 | Psi Summit Professional Group 19 Prospect St Summit NJ 07901-2530 Ph: (800) 753-5223 |
| NPI Number | 1043404650 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043404650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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