Individual
SHEYDA NAMAZIE-KUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE NORTH, U MASS MEMORIAL MEDICAL CTR, PEDIATRIC HOSPITALIST GRP, WORCESTER, MA 01655
(508) 334-7986
(508) 334-7989
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129540
—
MA
Enumeration date
08/20/2006
Last updated
04/17/2009
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