Provider Demographics
NPI:1639923964
Name:CARVER, VICTORIA SUMMER
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:SUMMER
Last Name:CARVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 HIGHLAND AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-1445
Mailing Address - Country:US
Mailing Address - Phone:360-509-4535
Mailing Address - Fax:
Practice Address - Street 1:77 MAIN STREET
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1193
Practice Address - Country:US
Practice Address - Phone:508-589-5333
Practice Address - Fax:774-250-2963
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program