Organization
SUMMIT BREAST CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE O'SHEA MD (PARTNER)
(973) 670-4244
Entity
Organization
Contact information
Practice address
89 SPARTA AVE, SUITE 210, SPARTA, NJ 07871-1777
(973) 729-6517
(973) 729-3194
Mailing address
98 FORD RD, SUITE 3-H, DENVILLE, NJ 07834-1356
(973) 625-3366
(973) 625-0349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04336800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8767700
—
NJ
Enumeration date
08/31/2006
Last updated
10/07/2014
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