Summit Family Medicine | |
29 South St Floor 1 New Providence NJ 07974-1940 | |
(908) 464-4200 | |
(908) 464-1332 |
Full Name | Summit Family Medicine |
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Speciality | Family Medicine |
Location | 29 South St, New Providence, New Jersey |
Authorized Official Name and Position | Nancy Stoll (OWNER) |
Authorized Official Contact | 9084644200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Family Medicine 29 South St Floor 1 New Providence NJ 07974-1940 Ph: (908) 464-4200 | Summit Family Medicine 29 South St Floor 1 New Providence NJ 07974-1940 Ph: (908) 464-4200 |
NPI Number | 1396769790 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1396769790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA07833500 (New Jersey) | Primary |
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