Provider Demographics
NPI:1124141148
Name:SUMMER, ASHLEY K (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:K
Last Name:SUMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:KRICUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 EAST CITY AVENUE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1724
Mailing Address - Country:US
Mailing Address - Phone:610-664-0134
Mailing Address - Fax:610-664-2945
Practice Address - Street 1:225 EAST CITY AVENUE
Practice Address - Street 2:SUITE 109
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1724
Practice Address - Country:US
Practice Address - Phone:610-664-0134
Practice Address - Fax:610-664-2945
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231222207R00000X
PAMD447074207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine