Individual
DR. DAVID BENJAMIN SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3031 JAVIER RD, SUITE 300, FAIRFAX, VA 22031-4637
(703) 698-8880
(703) 698-8884
Mailing address
3031 JAVIER RD, SUITE 300, FAIRFAX, VA 22031-4637
(703) 698-8880
(703) 698-8884
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101028478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006370675
—
VA
01
—
045888YT07
PTAN
VA
01
—
045888ZFY4
GROUP MEMBER PTAN
VA
Enumeration date
07/08/2005
Last updated
02/01/2016
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