institution
Summit Medical Group
Primary Care Clinic/Center in Providence, Rhode Island
NPI 1235275207

Summit Medical Group is a Primary Care Clinic/Center based in Providence, RI and is specialized in Primary Care. Summit Medical Group practices in Providence, RI. The NPI Number for Summit Medical Group is 1235275207 and holds a License No. RI3593 (Rhode Island).

The current practice location address for Summit Medical Group is 100 Highland Ave Ste 307, Providence, RI and can be reached out via phone at 401-331-5320 and via fax at 401-331-6168.

Location: 100 Highland Ave Ste 307, Providence, RI, 02906-2753
institution
Provider Profile Details
NPI Number
1235275207
Provider Name
Summit Medical Group
Credential
Provider Entity Type
Organization
Address
100 Highland Ave Ste 307, Providence, RI, 02906-2753
Phone Number
401-331-5320
Fax Number
401-331-6168
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
847-1 01 RI BLUE CROSS
9000847 05 RI
2059883 01 RI AETNA
institution
Provider Business Practice Location Address Details
Address
100 Highland Ave Ste 307
City
State
Zip
02906-2753
Phone Number
401-331-5320
Fax Number
401-331-6168
person
Provider Business Mailing Address Details
Address
100 Highland Ave Ste 307
City
State
Zip
02906-2753
Phone Number
401-331-5320
Fax Number
401-331-6168
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
RI3593 (Rhode Island)
Definition
Definition to come...
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