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Individual

ROSS S SUMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
(215) 923-6003
Mailing address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
(215) 923-6003

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD444745
PA
207RP1001X
Pulmonary Disease Physician
159158
MA
207RP1001X
Pulmonary Disease Physician
Primary
MD444745
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01952406
MA
05
0308854
NJ
05
102731025
PA
Enumeration date
02/02/2006
Last updated
11/06/2012
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