Individual
ELEANOR M. SUMMERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8480
(781) 744-3443
Mailing address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8480
(781) 744-3443
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
75769
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD09705
RI
207RP1001X
Pulmonary Disease Physician
Primary
75769
MA
207RP1001X
Pulmonary Disease Physician
MD09705
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007061090
MEDICARE PTAN
RI
05
—
110087858A
—
MA
05
—
9025352
—
RI
Enumeration date
12/07/2005
Last updated
06/12/2015
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