Montclair State University Occupational Health

NPI #1376144790 in Montclair, New Jersey

Provider Information

NPI Number
1376144790
Entity Type
Organization
Organization Name
Montclair State University Occupational Health
Subpart
Yes (part of a larger organization)
Parent Organization
MONTCLAIR STATE UNIVERSITY
Primary Specialty
Clinic/Center - Occupational Medicine
Enumeration Date
Nov 3, 2020
Last Updated
Nov 3, 2020

Practice Location

Address
1 NORMAL AVENUE
Address 2
BLANTON HALL
ZIP Code
07043-1624
Phone
(973) 655-5014

Authorized Official

Name
DR. GREGG SUMMERVILLE, MD
Title
OCCUPATIONAL HEALTH PHYSICIAN
Phone
(973) 655-5014

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Occupational MedicineOccupational Medicine

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