Annual Report 2010 - Summit Medical Group€¦ · Welcome to Summit Medical Group's 2010 Annual...

Live well. Stay well.

2010Annual Report

SMG_ANNUALREPORT_8.5x11:Layout 1 2/24/11 12:28 PM Page 1

Letter from the President/CEO andChairman of the Board

Summit Medical Group by the Numbers

Live well. Stay well.Our PartnersOur New PhysiciansOur Board & Senior Managers

2010 Highlights2010 Key MilestonesClinical AdvancementsOperational EnhancementsCommunity Support

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Contents


"A pessimist sees difficulty in everyopportunity and an optimist sees theopportunity in every difficulty."

Winston Churchill

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Letterfrom the President/CEO and Chairman of the Board

Dear Colleagues,

Welcome to Summit Medical Group's 2010 Annual Report.

For more than eighty years, Summit Medical Group has been part of a healthcarecommunity that continues to present new challenges. We are proud to share thevalues and principles that supported us thus far and that will guide us throughthese challenges. By highlighting examples of our achievements, we demonstratethat our commitment to these values is backed by actions that have made, andcontinue to make, a difference.

This report celebrates the collective efforts that have shaped Summit MedicalGroup’s commitment to providing our patients with convenient, coordinated,high quality medical care.

We thank our physicians and our employees for their energy and dedication tomaking Summit Medical Group’s presence in our community what it is today.

Simon J. Samaha, MD Jeffrey LeBenger, MD

President and CEO Chairman of the Board of Directors

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Summit Medical Group by the NumbersLive well. Stay well.

Founded in 1929 and listed among NJ's "50 FastestGrowing Companies" by NJ Biz Magazine since2008, Summit Medical Group has a long-standingtradition of excellence while keeping pace withtoday's rapidly changing health care environment.

• 170 physicians treating more than 55,000patients/month

• 250,000 sq. ft. main campus on 42 acres inBerkeley Heights; 11 area satellites in Bayonne,Berkeley Heights, Millburn, Morristown, Short Hills, Summit, Warren, and Westfield

Services and Specialties:Primary Care: Internal and Family Medicine, Obstetrics-Gynecology, Pediatrics and Adolescent Medicine

Specialties: Allergy, Aviation Medicine, BehavioralHealth, Breast Surgery, Cardiology, Chiropractic Medi-cine, Colorectal Surgery, Dermatology, ENT, Endocrinol-ogy, Family Medicine, Gastroenterology, GeneralSurgery, Hematology, Immunology, Infectious Diseases,Integrative Medicine, Mohs Micrographic Surgery,Nephrology, Neurology, Neurosurgery, Neurotology,Oncology, Ophthalmology, Orthopedics and Orthope-dic Surgery, Otology, Physiatry, Plastic Surgery, Preven-tive Medicine, Podiatry, Pulmonology, Rheumatology,Spine Surgery, Sports Medicine, Surgical Oncology, TravelMedicine, Urology, Vascular Surgery

Ambulatory Surgery Center: Onsite ASC, NJ licensed,Medicare certified, AAAHC accredited with 6 operat-ing suites; 650 cases monthly (20% pediatric; 50% endoscopic)

Diagnostics:• Onsite all digital imaging center with high-

field open and closed MRI, multislice CT,CT angiography, digital mammography, bone densitometry, ultrasound and fluoroscopy

• 3D-echocardiograms, nuclear stress testing, andaccredited non-invasive vascular lab

• COLA-approved, CLIA'88-accredited, full serviceonsite clinical anatomic pathology laboratory,recognized as an Advanced Sentinel Laboratoryby the NJHSS

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Electronic Health Record: Shared EHR with e-prescribing, pharmacy prescription downloads,integrated PACS, laboratory reporting and localhospital records.

Breast Care Center: Located on the main campus inBerkeley Heights, the Breast Care Center is the only breast center in New Jersey to be designated aCertified Quality Breast Center of Excellenceby the National Consortium of Breast Centers. It is oneof only 8 such centers in the United States. For pa-tients from the New Jersey/New York area, SMG’sBreast Care Center offers comprehensive diagnosisand treatment of benign and malignant breast condi-tions. The Breast Care Center welcomes newly diag-nosed patients as well as those with recurrent disease.

Three dedicated breast surgeons head a multidis-ciplinary treatment team that includes:

• Breast health nurse navigators • Breast radiologists • Surgical oncologists • Medical oncologists • Plastic and reconstructive surgeons• Pathologists • Radiation oncology referrals • Counselors for nutrition, genetics, and

cognitive therapy

Patient services feature on-site diagnostics such asdigital mammography, ultrasound, MRI, minimallyinvasive ultrasound-guided core biopsies, stereotacticmammotome biopsies, and open surgical biopsies.

Urgent Care Center: 10 beds with onsite imaging;coverage by board certified ER physicians

Other Services and Centers: Acupuncture, Audi-ology, Chemo Infusion Suite, Clinical Trials, EarSpecialty Center, Evening Primary Care, ExecutiveHealth, Genetic Counseling, Hospitalists, Nutrition Services, Occupational Health, OpticalShop, Pediatric Speech Therapy, Physical Therapy,Sleep Disorders Center, Vascular Screening andVein Center

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Our PartnersLive well. Stay well.

Marla L. Abramson, MDLloyd H. Alterman, MD, FACPJoseph A. Barresi, MD, FACOGAdam F. Barrison, MDJon L. Bass, MDJeffrey Bauman, MDAndrew D. Beamer, MD, FACCJoseph A. Belladonna, MDMichelle Bender, MD, FAAPHoward S. Blaustein, MDDavid D. Bullek, MDRichard M. Camacho, MDDeborah Cheung, MDEric R. Cohen, DOPeter M. Colucio, MDLisa M. Coohill, MDDavid M. Cooper, MDJoseph T. Corona, MDJohn D. Cunningham, MDJulio C. Diaz, MD, FAAPJohn H. Dokko, DOGhitta Eibshutz, MD, FAAPCraig H. Feinberg, MDMatthew J. Garberina, MDCharles M. Gelber, MDAlice B. Gibbons, MD, FACOGJ. Scott Gillin, MD, FACPAlexander R. Gnoy, MDAndrew C. Greene, MD, FACC

Gabriel G. Gruber, MDEric B. Gurwin, MDKathleen A. Heffernan, MD, FACOGDaniel E. Hermann, MD, MPHLinda Hsueh, MDJohn Hurley, MDPeter Hyans, MD, FACSAlexa C. Kemeny, MD, FAAPKevin Kennedy, MD, FACEPMonica B. Khalil, MDEileen C. Klein, MD, FACPHoward Kornfeld, MD, FAAPAvinash A. Kothavale, MD, FACCJed A. Kwartler, MDJeffrey D. LeBenger, MDKerry S. LeBenger, MD, FAAAAI, FACAAILinda K. Lee, MDRichard J. Lesko, MD, FACEP, FACPJames Levey, MD, FACOGEric S. Lieberman, MDJerrold S. Lozner, MD, MHA, FACSDonna L. Lupski, MD, FAAPChristine Masterson, MD, FACOGRedentor S. Mendiola, Jr., MDIda A. Miguelino, MD, FAAPLisa A. Mills, MDEric C. Mirsky, MDReza Momeni, MD, FACSKomal D. Naik, DO

Lawrence J. Nastro, MDRichard O. Nelson, MDRichard S. Nitzberg, MDRohit Oza, MDScott Pacific, MDMichael A. Parziale, MDRobert L. Rosenbaum, MD, FACP, FACEDouglas M. Roth, DOR. Gregory Sachs, MD, FACCDavid M. Schreck, MDDaniel R. Schwartz, MD, FACC, FACEPHenry P. Sendyk, MDMarcia Sherman, MDJohn D. Siegal, MDBeth Singer, MD, FAAPRobert D. Slama, MD, FACCGeraldine M. Summa, MD, FAAPWilliam A. Tansey, III, MD, FACCAlan E. Thomas, MD, FAAPAlbert B. Thrower, MDMichael A. Volpe, MDMichael B. Wax, MDJudith E. Weisfuse, MDMaureen P. Whalen, MD, FACOGHendricks H. Whitman, III, MD, FACP, FACRCharles J. Wittmann, MDNicholas D. Yatrakis, MDLaura S. Zimmermann, MD, FACOGMonib A. Zirvi, PhD, MD

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Our New PhysiciansLive well. Stay well.

Summit Medical Group welcomed the following new physicians in 2010:

Flores Alfonso, MD, PathologyFred M. Aueron, MD, FACC, FSCAI, Cardiology

Robert H. Charney, MD, FACC, CardiologyRenee Schreiber Chervenak, MD, Internal MedicineKenneth B. Gantz, MD, FACC, FSCAI, Cardiology

Andrew A. Gumbs, MD, Surgical OncologyIlya Kupershtein, MD, Spine SurgeryGeraldine O. Mercer, MD, PathologyHari Nadiminti, MD, Dermatology

Prabha Pai, MD, PathologyRafael Pajaro, MD, Hospitalist Medicine

Winnie M. Polen, DO, Breast SurgeryBernard A. Rawlins, MD, Spine Surgery

Jennifer G. Reeder, MD, Oncology/HematologyRoy B. Sauberman, MD, FACC, CardiologySusan L. Simandl, MD, FACC, Cardiology

Stacey C. Tavel, MD, PediatricsAllison Gurey Wasserstein, MD, Pediatrics

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Our Board & Leadership TeamLive well. Stay well.

Summit Medical Group Board of Directors 2009-2010

Lloyd H. Alterman, MD, FACP (Secretary)Adam F. Barrison, MDAndrew D. Beamer, MD, FACCEileen C. Klein, MD, FACPMark D. Larner, EsqJeffrey D. LeBenger, MD (Chair)Jerrold S. Lozner, MD, MHA, FACSEric C. Mirsky, MDScott Pacific, MDLaura S. Zimmerman, MD, FACOG

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Leadership Team

Robert W. Brenner, MD, MMM, Chief Medical OfficerR. Robert Booth, CPA, CPC, Chief of FinanceKaren Graham, Chief of OperationsSimon J. Samaha, MD, President and CEO

Elena Andrews, Director, NursingBernadette Bogden, Director, Human ResourcesJohn Chiappinelli, Legal CounselMichael Dugan, Director, Business OfficeCraig Edwards, Director, Information ServicesThomas Frangione, Director, Accounting and FinanceEileen O’Shaughnessy, Director, Marketing and New Media

NJ Commissioner of Health, Dr. Poonam Alaigh (center) visited for a tour and information session.

Gold medalists Tim Morehouse (left) and

Shannon Miller (center) brought Olympic shine

to our first Live Well Sports and Health Festival.


Highlights• For the first time in Summit Medical Group

history, we passed the 200 million dollarthreshold in net revenue.

• More than 825,000 patient visits were completed(including office visits and ancillary services), a3.4% increase over 2000.

• Close to 18,000 new patients joined the Group.

• Staff retention rate continues to be above average,at 9.06%.

• Two new patient care satellite offices were opened,in Bayonne and Millburn

• Imaging services continues operations 365 days ayear, including holidays.

• The Ambulatory Surgery Center continued to operate at full capacity, and expanded surgeryhours now include Saturdays. Close to 10,000 patients were treated in 2010, a 4% increase over 2009.

• Our anatomic pathology laboratory received a perfect score from COLA on our bi-annual CLIALab inspection. The lab reported 1,644,901 test results in 2010 compared to 1,451,005 testresults in 2009.

• The SMG telephone operators handled more than600,000 incoming calls during 2010. Abandon callsconsistently under 4% - industry standard is 5%.

Awards• For the third consecutive year, Summit Medical

Group was named one of NJ’s “50 Fastest GrowingCompanies” by NJ Biz magazine

• Approximately 25% of our physicians were mentioned as a “Top Doc” in numerous national,statewide and regional rankings.

• Our Chief Medical Officer, Robert W. Brenner, MD,MMM, received the 2010 Dorland Health PeopleAward, which recognizes health care professionalswho improve care to the patient, theirorganization, the community, and the healthcare industry as a whole.

2010 Key MilestonesLive well. Stay well.

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Clinical AdvancementsLive well. Stay well.

• New Proactive Pediatric Immunization Alert Program achieved an 87% completion rate, whichexceeded the national average of 66% for all 7 childhood immunizations.

• Via our expanded diabetes Live Well Program, patients with high and moderate diabetes aretracked and contacted for follow up and physiciansare routinely alerted to most recent lab results.

• The Mammogram Outreach Program achieved a 90% show rate for all patients contacted.

• The Preventive Medicine Live Well Program outreach calls were started for colon cancer screenings (male, female), physical exams, GYNexams and diabetic eye exams. The diabetic eyeexam achieved a 90% show rate for all patientscontacted.

• The SMG Hospitalist Program was enhanced with a new director and case manager, and has beenable to reduce hospital lengths of stay, readmissionrates, and improve patient satisfaction.

• Individual with egg allergies were able to receivethe H1N1 flu vaccine due to the coordinated, multidisciplinary efforts of our clinical services andallergy/immunology department.

• All nurses and medical assistants completed a skillrefresher to ensure accurate, consistent standardsfor reading blood pressures, a leading health indicator.

• Our echocardiography laboratory was re-accreditation by the Intersocietal Commissionfor the Accreditation of EchocardiographyLaboratories (ICAEL) at the highest level, for 3 years.

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Operational EnhancementsLive well. Stay well.

• We implemented a standard telephone menu forall departments, resulting in more consistent calltreatment for patients.

• The Group’s Employee Benefits Program underwenta comprehensive review and healthcare benefits were redesigned and implemented.

• The Physician Peer Review Policy was evaluated and the 360 survey process was revamped. In addition, 100% of physicians selected individualPQRI and HEDIS Quality Measures.

• Visits to our website, www.summitmedicalgroup.com,grew to just over 600,000 during 2010, an 80%increase over 2009.

• Community Education Lectures continued: 25 freelectures were offered to more than 1,000 individuals; 30% were non-SMG patients.

• Press coverage/earned media among local and regional print, broadcast and online media was valued at more than $200,000.

• Summit Medial Group’s Facebook page waslaunched and Twitter feed continued.

• To assist in cultivating current and future Groupleaders, physicians and administrative staff participated in NYU Stern’s Executive EducationProgram, a year-long curriculum of topics such ashealthcare economics, ethics/professional responsibility, and leadership.


New Programs and Services• Evening and weekend appointments are now

available for most specialties at all SMG satellites.

• Moh's micrographic surgery and laser treatmentsare now available via expansion of our dermatology specialty services.

• A new spine surgery program is now available, via two new orthopedic spinal surgeons.

• Summit Medical Group’s Breast Care Center was opened.

• Cardiac electrophysiology services were made available internally to SMG patients.

• As a result of our collaboration with Memorial Sloan-Kettering Cancer Center, individuals withcancer who have concluded their cancer treatmentbut need ongoing medical care are referred to Summit Medical Group for coordinated follow-up care.

• Complimentary counseling is now available weeklyto oncology patients in the chemotherapy room.

• New weight loss group(s) were run with physicaltherapy and nutrition, including ongoing relapse prevention groups.

• Pediatric behavioral health services were added, including pediatric anger management.

• New “Gift of Health” cards were introduced, providing a unique gift idea for out of pocket medical expenses such as deductibles, copays andretail services such as calcium scoring or cosmeticprocedures.

• Patients now routinely receive phone call reminders for all medical appointments, includinglab and imaging appointments.

• In addition to our current cardiologist presence at Morristown Memorial Hospital and Overlook Hospital, SMG cardiologists are now available at St. Barnabas Medical Center, Newark Beth Israel Medical Center, and Bayonne Medical Center. (Most other SMG physicians admit exclusively to Overlook Hospital.)

• Public Wi-Fi access is now available in Café andoncology suite.

• New business functionality was achieved throughthe enhancement of existing tools, including:

- Upgraded EHR operating system Misysto v9.10

- Upgraded CQS to support CMS PQRI Incentive program.

• Further integration of automatic reports into EHRincluding bone density studies, vascular studies,mammo studies and urgent care visits.

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Live Well Sports andHealth FestivalSunday, October 3The first annual “Live Well Sports and Health Festi-val” was held, attracting attendees to a family fun dayof information and opportunities to keep active; 21%were non-SMG patients.

Olympic gold medal gymnast, Shannon Miller, silvermedal fencer Tim Morehouse, and members of theU.S. Rowing Team greeted guests and shared tipson healthy, active lifestyles. A wide variety of familyactivities at the event included:

• Golf Simulator and Putting Challenge• Rock Climbing Wall• Makoto Fitness Training• Table Tennis• Tai Chi Instruction• Exercise and Nutrition Information• Hay Maze

SMG orthopedists and sports medicine specialists gaveinformative talks on sports injury prevention and recovery:

• Treating Common Shoulder Problems in Athletes– David Bullek, MD

• Arthritis Knee in the Weekend Warrior– Eric Mirsky, MD

• Tips for Maintaining a Healthy Back – Ilya Kupershtein, MD

• Avoiding Elbow and Wrist Injuries – Matthew Garberina, MD

• Preventing ACL Injuries in the Female Athlete – John Hurley, MD


Community SupportLive well. Stay well.

Summit Medical Group’s employees organize and participate in food drives, toy drives, and communityevents that support a wide range of charitable organizations.

American Red CrossSummit Medical Group’s long-standing partnershipwith the American Red Cross Colonial CrossroadsChapter has brought many Red Cross programs toarea residents, including Be Red Cross Ready: Intro-duction to First Aid and CPR, Emergency and Disas-ter Planning, Basic Aid Training, and Keeping YourBaby Safe. Babysitter's Training Camp & CPR Certifi-cation showed prospective babysitters how to care forchildren, gain confidence, make smart decisions, andstay safe in any babysitting situation. Classes in PetFirst Aid for Dogs and Cats taught caregivers symp-toms and care for common pet ailments and emer-gencies, and how to provide guidance in emergencysituations until veterinary care is available.

American Medicine ChestChallengeThe American Medicine Chest Challenge is a com-munity based public health initiative, with law en-forcement partnership, designed to raiseawareness about the dangers of prescription drugabuse and provide a nationwide day of disposal –at a collection site or in the home - of unused, un-wanted, and expired medicine in communitiesacross the country. Summit Medical Group was a2010 collection site and with the support of theBerkeley Heights Police Department, the event atSMG collected 250 pounds of expired and unusedmedications from area residents.

American Heart AssociationAHA's mission is to build healthier lives, free of car-diovascular diseases and stroke. The Summit MedicalGroup Team participates annually in AHA's "HeartWalk," helping to raise funds and save lives from heartdisease and stroke.

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Community Food Bankof New JerseyThe Community Food Bank of New Jersey is theleader in raising awareness of hunger and povertyin New Jersey and is member of Feeding America,the nation’s largest network of food banks. SMGemployees organize an annual food drive, collect-ing more than 2,000 pounds of food from col-leagues, family and friends. They also serve at alocal CFB facility, packing food for agencies to dis-tribute to families. An annual gift is also given bySMG’s physicians in support of CFB’s mission.

Mountain Park SchoolThe Mountain Park School in Berkeley Heights pro-vides its students with a broad range of learningactivities in the sciences. To assist in their scienceprogram, Summit Medical Group donated labcoats to fifth grade students of teacher Carla Pas-tore. The students thanked Summit Medical Groupwith a signed paper labcoat and photos of themwearing the coats during a science project.

Berkeley HeightsRecreation CommissionThe Berkeley Heights Recreation Commissionsponsors an annual toy drive to benefit homelesschildren in areas such as Newark, Irvington, andElizabeth. Summit Medical Group physicians andstaff donated more than 300 toys of all varietiesduring November and December, delivered to theBHRC to distribute just in time for Christmas.

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A Road to Health in HaitiOn April 2, 2010, at the end of his first day inHaiti, Summit Medical Group Chief Medical Offi-cer Robert W. Brenner, MD, MMM, sent a textmessage to his wife:

“Today was indescribable. They had no water fordays. We delivered a baby onto cardboard. Thepeople are starving, infected, and sick, yet happy.It's utter chaos. It was an unfathomable day.”

Between April 2 and 11, 2010, Dr. Brenner madehis first trip to Haiti with the Church Outreach toYouth (COTY) Project, a nonprofit organizationbased in North Adams, Massachusetts. COTY runsthe Haiti Plunge, which is focused on building aroad and clinic for the people living in the im-poverished Caberet region of Haiti. Together withhis son Danny and Danny’s friend JeremyAdelsheimer, Dr. Brenner traveled to a 9-village co-operative in a remote mountain area approxi-mately 60 miles northwest of Port-Au-Prince. Thetrip was a medical mission to aid victims of thedevastating earthquake on January 12, 2010.

Fellow physcians and staff of Summit MedicalGroup raised 30K+ for the relief efforts followingthe earthquake. Summit Medical Group and Wal-greens pharmacy donated medical supplies for Dr.Brenner's trip.

One year later, Dr. Brenner is taking a lead rolewith the COTY project to build a clinic/hospital tobe named Fanmi La Sante Galgal, or FamilyHealth Clinic at Galgal, Haiti. The facilitywill serve as many as 40,000 people who now haveno health care. There is severely limited access tohealth care in the area, including virtually noacute care, prenatal care, or preventive care. Thenearest hospital is so far away that many die enroute.


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Dr. Brenner’s progress has included the devel-opment of a mission, vision, scope of services,and some specific public health objectives forthe new clinic. An architectural firm has cre-ated and presented preliminary designs forFanmi La Sante Galgal. Equipped with admin-istrative services, examination rooms, waitingand reception areas, an intake/triage room, alaboratory, radiology services, pharmacy serv-ices, a medical supply room, utility room, laun-dry, observation rooms, and a dormitory, theClinic will offer:

• Clinical programs, including pediatric well care and pediatric disease screening, and adultchronic disease screening and treatment

• Structural enhancements, including a system for safe medical waste disposal, dental chair, and basic laboratory

• System improvements, including organizedmedical records, supply and inventory of pharmaceuticals, and registries for pregnancies, births, deaths, diseases, and morbidities

Dr. Brenner is heading back to Haiti on April15-24, 2011, to deliver much-needed medicalcare in the remote mountain areas. He alsowill help ensure that work on the new cliniccontinues.


Here are just some of theorganizations and eventsSMG has supportedfor 2010:

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American Cancer SocietyAmerican Heart AssociationArthritis FoundationAutism SpeaksBasking Ridge Ridge RunnersBerkeley Heights 5K Charity RunBerkeley Heights Boy ScoutsBerkeley Heights PBABerkeley Heights RotaryBerkeley Heights Rubber Ducky FestivalChatham United SoccerChatham Senior ServicesCuremos (Breast Cancer)FDU FootballGovernor Livingson High SchoolJoseph Enright FoundationLong Hill Chamber of CommerceLong Hill Township Community DayLupus FoundationLymphoma Research FoundationMaplewood/South Orange RecreationMillburn Recreation Dept

Millburn-Short Hills Chamber of CommerceMillburn-Short Hills Youth BaseballNew Providence Business & Professional AssociationNew Providence Fire DepartmentReeves Reed ArboretumScotchPlains/Fanwood High School BoostersShort Hills Chamber of Commerce Short Hills Education FoundationShort Hills Junior LeagueShort Hills Wellness GalaSomerset County 4-H AssociationSomerset County United waySomerset County Women's InitiativeSomerset PatriotsSterling Volunteer Fire DeptSuburban Chamber of CommerceSummit BoostersSummit Junior Fortnightly ClubSusan G. Koman Race For CureTri-Town Men's Softball AssocUnion County College FoundationUnion County FestivalUnion County Little LeagueUnion County Teen Arts ProgramVisiting Nurses FoundationWarren - Mt Horeb PTOWarren Lions Club EXPOWarren Township Volunteer Fire DeptWatchung Hills Elks LodgeWestfield Athletic ProgramsWestfield Booster AssociationWestfield Chamber of CommerceWestfield Education FundWestfield Temple Emanu-ElWestfield YMCAWharton Music CenterYoung Survivors Coaltion


www.summitmedicalgroup.com

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(973) 285-7610

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(973) 379-4496

150 Floral Avenue New Providence, NJ 07974

(908) 790-6575

161 Millburn Avenue Millburn, NJ 07041

(973) 467-4220

233 Millburn AvenueMillburn, NJ 07041

(908) 790-6525

1 Diamond Hill RoadBerkeley Heights, NJ 07922

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654 Springfield Avenue Berkeley Heights, NJ 07922

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654 Broadway Bayonne, NJ 07002

(201) 243-9999

560 Springfield AvenueWestfield, NJ 07970

(908) 228-3600

33 Overlook RoadSummit, NJ 07901

(908) 219-3000

202 Elmer Street Westfield, NJ 07090

(908) 232-7797


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