Summit Medical Group
NPI #1235275207 in Providence, Rhode Island
Provider Information
- NPI Number
- 1235275207
- Entity Type
- Organization
- Organization Name
- Summit Medical Group
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 100 HIGHLAND AVE STE 307
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-2753
- Phone
- (401) 331-5320
Authorized Official
- Name
- MARVIN STUART KERZNER, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (401) 331-5320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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