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Organization

SUMMIT MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANIE UMBRICHT (INSURANCE SERVICE DIRECTOR)
(203) 259-8782
Entity
Organization

Contact information

Practice address
360 MARKET ST, HARTFORD, CT 06120-2901
(860) 493-6575
(860) 493-6583
Mailing address
61 UNQUOWA RD, FAIRFIELD, CT 06824-5096
(203) 259-8782
(203) 259-0834

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0013
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
992953
CONNECTICARE
CT
01
A394805
OXFORD HEALTH
CT
01
AETNA
AETNA
CT
01
OV6680
HEALTHNET
CT
Enumeration date
08/07/2006
Last updated
08/22/2020
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