Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | D0080727 | MD |
Y | 2081P2900X | Pain Medicine | D0080727 | MD |
NPI | 1013107044 |
---|---|
Provider Name | Pamela Summers |
First Address | Silver Spring, MD 20910-4391 |
Second Address | Laurel, MD 20707-5263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 02/08/2020 |