165 Summit Internal Medicine Clinic PA
NPI #1558690446 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1558690446
- Entity Type
- Organization
- Organization Name
- 165 Summit Internal Medicine Clinic PA
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 23, 2009
- Last Updated
- Dec 23, 2009
Practice Location
- Address
- 165 SUMMIT AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1311
- Phone
- (201) 488-5892
Authorized Official
- Name
- DR. ARET YEGISE KAHYAOGLU, M.D.
- Title
- PRESIDENT
- Phone
- (201) 488-5892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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