Individual
MARY ELIZABETH SUMMERLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4488
(732) 776-3790
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00908700
NJ
Other
Enumeration date
09/30/2024
Last updated
05/09/2025
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