Organization
OVERLOOK HOSPITAL
Active
Other names
ATLANTIC HEALTH SYSTEMS
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LILLO (DIRECTOR)
(908) 522-5839
Entity
Organization
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2283
(908) 522-0764
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2283
(908) 522-0764
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25MG00067400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3674843
—
NJ
Enumeration date
04/19/2007
Last updated
02/23/2023
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