Provider Demographics
NPI:1861493215
Name:SPRINGFIELD FAMILY PRACTICE, LLC
Entity Type:Organization
Organization Name:SPRINGFIELD FAMILY PRACTICE, LLC
Other - Org Name:SUMMIT SPRINGFIELD FAMILY PRACTICE AND PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:POZNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-277-0050
Mailing Address - Street 1:11 OVERLOOK RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3577
Mailing Address - Country:US
Mailing Address - Phone:908-277-0050
Mailing Address - Fax:908-277-0201
Practice Address - Street 1:11 OVERLOOK RD
Practice Address - Street 2:SUITE 140
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3577
Practice Address - Country:US
Practice Address - Phone:908-277-0050
Practice Address - Fax:908-277-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty