Organization
SUMMIT MEDICAL GROUP PA
Active
Parent organization
SUMMIT MEDICAL GROUP PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT MEDICAL GROUP PA
Authorized official
SWAHILI HENRY (DIRECTOR OF PROVIDER ENROLLMENT)
(908) 988-0428
Entity
Organization
Contact information
Practice address
150 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9808
Mailing address
150 PARK AVE, FLORHAM PARK, NJ 07932-1049
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
01/27/2026
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