Healthcare Provider Details

I. General information

NPI: 1831485796
Provider Name (Legal Business Name): FELECIA N SUMNER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. FELICIA N SINGH

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 N LANSDOWNE AVE STE 4
LANSDOWNE PA
19050-2073
US

IV. Provider business mailing address

85 N LANSDOWNE AVE STE 4
LANSDOWNE PA
19050-2073
US

V. Phone/Fax

Practice location:
  • Phone: 215-876-0360
  • Fax: 667-239-6162
Mailing address:
  • Phone: 215-876-0360
  • Fax: 667-239-6162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberOT014142
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS017003
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number075917
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: