| 321 Summit Medical | |
|
321 Summit Ave Hackensack NJ 07601-1429 | |
| (201) 343-2434 | |
| (201) 343-3917 |
| Full Name | 321 Summit Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Charles S Davis (PRESIDENT) |
| Authorized Official Contact | 2013432434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 321 Summit Medical 321 Summit Ave Hackensack NJ 07601-1429 Ph: (201) 343-2434 | 321 Summit Medical 321 Summit Ave Hackensack NJ 07601-1429 Ph: (201) 343-2434 |
| NPI Number | 1679865109 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679865109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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