| Summa Physician Inc | |
|
605 N Cleveland Massillon Rd Suite B Fairlawn OH 44333-2241 | |
| (330) 666-3333 | |
| (330) 668-6532 |
| Full Name | Summa Physician Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 605 N Cleveland Massillon Rd, Fairlawn, Ohio |
| Authorized Official Name and Position | T Clifford Deveny (PRESIDENT) |
| Authorized Official Contact | 3309968603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summa Physician Inc 525 E Market St P.o. Box 2090 Akron OH 44304-1619 Ph: (330) 996-8603 | Summa Physician Inc 605 N Cleveland Massillon Rd Suite B Fairlawn OH 44333-2241 Ph: (330) 666-3333 |
| NPI Number | 1972709699 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 04/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972709699 | NPI | - | NPPES |
| 2778034 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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