Individual
MRS. SUMMER ANN MATTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 364-4848
(857) 364-4543
Mailing address
85 BRAINERD RD APT 101, ALLSTON, MA 02134-4529
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1545
MA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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