Summit Clinical Group LLC
Clinic/Center, Health Services in Yardley, PA. Organization (NPI-2).
NPI number1154875755
StatusActive
Last updated in NPPESMar 22, 2021
Details
- NPI
- 1154875755
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Clinical Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2016
- Certification date
- Mar 22, 2021
- Last updated
- Mar 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
25 S Main St#167
Yardley, PA 19067-1527
Phone 718-382-0012
Mailing address
25 S Main St#167
Yardley, PA 19067-1527
Authorized official
Stuart H Ditchek
Ceo
7183820012
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