Organization
MOORESTOWN FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. BLAIR SUMMERSGILL MD (PRESIDENT)
(856) 234-2101
Entity
Organization
Contact information
Practice address
301 N CHURCH ST, SUITE 101, MOORESTOWN, NJ 08057-2498
(856) 234-2101
Mailing address
301 N CHURCH ST, SUITE 101, MOORESTOWN, NJ 08057-2498
(856) 234-2101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MA39828
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MA39828
NJ
Other
Enumeration date
05/23/2006
Last updated
09/11/2025
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