Organization
SUMMIT SURGICAL CENTER, LLC
Active
Parent organization
SUMMIT SURGICAL CENTER, LLC
Other names
Hand Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT SURGICAL CENTER, LLC
Authorized official
STEPHANIE FENDRICK (CO-CHAIR)
(856) 247-7838
Entity
Organization
Contact information
Practice address
5000 SAGEMORE DRIVE, SUITE 106, MARLTON, NJ 08053
(856) 983-4263
(856) 983-9362
Mailing address
200 BOWMAN DRIVE, SUITE D160, VOORHEES, NJ 08043
(856) 247-7838
(856) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
24019
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001480000
KEYSTONE
NJ
01
—
000K06569
1ST OPTION/PHS
NJ
01
—
1372571009M
CIGNA
NJ
01
—
2683282
AETNA HMO
NJ
01
—
311051
HORIZON BCBS
NJ
01
—
490002554
MEDICARE RAILROAD
NJ
01
—
7287328
AETNA PPO
NJ
01
—
ANC844
OXFORD
NJ
01
—
IL2400
HEALTHNET
NJ
Enumeration date
08/15/2006
Last updated
03/26/2025
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