Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | D0052853 | MD |
NPI | 1164854899 |
---|---|
Provider Name | Dr. Jeff Lee Summers |
First Address | Silver Spring, MD 20901-2406 |
Second Address | Silver Spring, MD 20901-2406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2013 |
Last Update Date | 05/08/2013 |