| Doctor Name: | MR. SUMMER GARY SILVERMAN |
| NPI Number: | 1174913388 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P. |
| License Number: | 051213-23 |
| Business Practice Address: | 255 W Lake Rd Fitzwilliam, NH - 034473508 |
| Business Phone Number: | 6035856763 |
| Business Fax Number: | |
| Mailing Address: | 255 W Lake Rd, FITZWILLIAM |
| State: | NH |
| Postal Code: | 034473508 |
| Phone Number: | 6035856763 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2015 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 051213-23 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |