Individual
AMANDA E SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DEPARTMENT OF PEDIATRICS, PHILADELPHIA, PA 19104
(215) 590-1220
Mailing address
4949 S LANDING DR UNIT 423, PORTLAND, OR 97239-5919
(503) 867-7136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT231510
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/21/2022
Last updated
05/20/2024
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