Summerville, Gregg

Summerville, Gregg is an sole proprietor health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Summerville, Gregg can be contacted via phone (973) 754-2240.

Contact Information

Primary practice address
703 Main St Paterson NJ 07503-2621
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA05719500 New Jersey

Profile Details

NPI number 1982604922
LBN Legal business name Summerville, Gregg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Oct 1st, 2008 - about 16 years ago

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 1982604922 NPPES
New Jersey MEDICAID 7187904

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