Organization
165 SUMMIT INTERNAL MEDICINE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARET YEGISE KAHYAOGLU M.D. (PRESIDENT)
(201) 488-5892
Entity
Organization
Contact information
Practice address
165 SUMMIT AVE, HACKENSACK, NJ 07601-1311
(201) 488-5892
(201) 488-0022
Mailing address
165 SUMMIT AVE, HACKENSACK, NJ 07601-1311
(201) 488-5892
(201) 488-0022
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA61265NJ
NJ
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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