Doctor Name: | DR. MICHAEL CHARLES SUMMERS |
NPI Number: | 1255325221 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 77471 |
Business Practice Address: | 12 Margaret St Suite 1 Boston, MA - 021132530 |
Business Phone Number: | 7817641242 |
Business Fax Number: | 7816742442 |
Mailing Address: | 12 Margaret St, Suite 1 BOSTON |
State: | MA |
Postal Code: | 021132530 |
Phone Number: | 7816741242 |
Fax Number: | 7816742442 |
NPI Enumeration Date: | 09/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 77471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |