Summers, Stephen Mark

Summers, Stephen Mark is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Summers, Stephen Mark can be contacted via phone (774) 442-1975.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax: (508) 856-3999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 232045 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 232045 Massachusetts
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 232045 Massachusetts

Profile Details

NPI number 1841233269
LBN Legal business name Summers, Stephen Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841233269 NPPES
Massachusetts MEDICAID 110075646A

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