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Specialty details in registry · Summit, NJ
At a glance
350 Springfield Ave Ste 200, Summit, NJ 07901-4610
NPPES record updated Apr 26, 2021. Public records can lag behind changes at a practice.
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Practice location
350 Springfield Ave Ste 200Summit, NJ 07901-4610
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 363LP2300X
- Enumeration date
- Apr 26, 2021
- Record updated
- Apr 26, 2021
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
133N00000X
Specialty details in registry
163WC0400X
Specialty details in registry
163WN1003X
Specialty details in registry
163WW0000X
Specialty details in registry
363LA2200X
Family Nurse Practitioner
363LF0000X
Specialty details in registry
363LP0808X
Specialty details in registry
363LP2300X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
350 Springfield Ave Ste 200Summit, NJ 07901-4610
- Phone
- (732) 832-7817
Mailing address
350 SPRINGFIELD AVE STE 200SUMMIT, NJ 079014610
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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