Organization
SUMMIT OAKS HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY DECOSTER (BUSINESS OFFICE DIRECTOR)
(908) 277-9118
Entity
Organization
Contact information
Practice address
19 PROSPECT ST, SUMMIT, NJ 07901-2530
(908) 277-9118
(908) 522-7020
Mailing address
19 PROSPECT ST, SUMMIT, NJ 07901-2530
(908) 277-9118
(908) 522-7020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087637
—
NJ
Enumeration date
12/29/2008
Last updated
12/29/2008
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