Provider Demographics
NPI:1437113990
Name:GETZEN, SUMMER G (DPM)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:G
Last Name:GETZEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-3837
Mailing Address - Country:US
Mailing Address - Phone:978-369-2665
Mailing Address - Fax:978-371-9914
Practice Address - Street 1:1732 MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3837
Practice Address - Country:US
Practice Address - Phone:978-369-2665
Practice Address - Fax:978-371-9914
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA2187213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA334240OtherHARVARD PILGRIM HEALTH
MA002187OtherTUFTS HEALTH PLAN
MAY71100OtherBLUE SHEILD OF MA
MA59938OtherFALLON HEALTH PLAN
MALX5299Medicare PIN
MA334240OtherHARVARD PILGRIM HEALTH
MA59938OtherFALLON HEALTH PLAN