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
JEFFREY D LEBENGER (CEO)
(908) 790-6567
Entity
Organization
Contact information
Practice address
1225 MCBRIDE AVE, WOODLAND PARK, NJ 07424-3812
(908) 273-4300
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 588-3635
(908) 934-9350
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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