Individual
SUSAN L. SUMMERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-3000
(215) 662-7011
Mailing address
800 SPRUCE ST, DEPT OF RADIOLOGY, PHILADELPHIA, PA 19107-3333
(215) 662-3000
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD042140L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01414540
—
PA
Enumeration date
10/03/2006
Last updated
09/15/2025
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