321 Summit Medical

NPI #1679865109 in Hackensack, New Jersey

Provider Information

NPI Number: 1679865109
Entity Type: Organization
Organization Name: 321 Summit Medical
Primary Specialty: Internal Medicine
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 321 SUMMIT AVE
City: Hackensack
State: New Jersey
ZIP Code: 07601-1429
Phone: (201) 343-2434

Authorized Official

Name: CHARLES S DAVIS, MD
Title: PRESIDENT
Phone: (201) 343-2434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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