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Organization

PSI SUMMIT PROFESSIONAL GROUP

Active
Parent organization
PSI SUMMIT HOSPITAL INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PSI SUMMIT HOSPITAL INC
Authorized official
PAT HOFFMAN (CREDENTIALING AGENT)
(800) 778-1242
Entity
Organization

Contact information

Practice address
19 PROSPECT ST, SUMMIT, NJ 07901-2530
(800) 753-5223
Mailing address
19 PROSPECT ST, SUMMIT, NJ 07901-2530
(800) 753-5223

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
08/28/2007
Last updated
04/20/2008
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