Organization
SUMMIT MEDICAL GROUP PA
Active
Parent organization
SUMMIT MEDICAL GROUP PA
Other names
CityMD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP PA
Authorized official
JEFFREY D LEBENGER (CEO)
(908) 790-6567
Entity
Organization
Contact information
Practice address
16 TETERBORO LANDING DR, TETERBORO, NJ 07608-1120
(201) 354-1953
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 588-3635
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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