Dr. Gregg Summerville, M.D.
Emergency Medicine in Paterson, NJ. Individual provider (NPI-1).
NPI number1982604922
StatusActive
Last updated in NPPESOct 1, 2008
Details
- NPI
- 1982604922
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregg Summerville
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2005
- Last updated
- Oct 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA05719500 | NJ | Yes |
Practice location
703 Main StPaterson, NJ 07503-2621
Phone 973-754-2240
Mailing address
31 Pheasant RunKinnelon, NJ 07405-3022
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