Active NPIIndividual provider

Mrs. Summer A Mattera, PA-C

Physician Assistant, Surgical in West Roxbury, Massachusetts

NPI Number1215045455
Practice location
1400 Vfw Pkwy, West Roxbury, MA 02132-4927
Fax
857-364-4543
Last updated
July 8, 2007

Summer Ann Mattera is a Physician Assistant, Surgical based in West Roxbury, MA. Summer Ann Mattera practices in West Roxbury, MA and has the professional credentials of PA-C. The NPI Number for Summer Ann Mattera is 1215045455 and holds a License No. 1545 (MA). The current practice location address for Summer Ann Mattera is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 and can be reached out via phone at 857-364-4848 and via fax at 857-364-4543.

Provider Profile Details

NPI Number
1215045455
Provider Name
Summer Ann Mattera
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1400 Vfw Pkwy, West Roxbury, MA 02132-4927
Phone Number
857-364-4848
Fax Number
857-364-4543
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Zip
02132-4927
Phone Number
857-364-4848
Fax Number
857-364-4543
West Roxbury, MA 02132Get directions →

Provider Business Mailing Address Details

Address
85 Brainerd RD Apt 101
Allston, MA 02134-4529
City
Allston
State
MA
Zip
02134-4529

License Information

License Number
1545
License State
MA
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Summer A Mattera, PA-C?

The NPI number of Mrs. Summer A Mattera, PA-C is 1215045455. It was assigned on August 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Summer A Mattera, PA-C?

Mrs. Summer A Mattera, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number 1545.

Where does Mrs. Summer A Mattera, PA-C practice?

The practice location is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927. The office can be reached at 857-364-4848 (phone) or 857-364-4543 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215045455 directly on the NPPES registry website.

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