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Organization
321 SUMMIT MEDICAL
Active
Organization
321 SUMMIT MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S DAVIS MD (PRESIDENT)
(201) 343-2434
Entity
Organization
Contact information
Practice address
321 SUMMIT AVE, HACKENSACK, NJ 07601-1429
(201) 343-2434
(201) 343-3917
Mailing address
321 SUMMIT AVE, HACKENSACK, NJ 07601-1429
(201) 343-2434
(201) 343-3917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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