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Organization
SOMERSET MEDICAL CENTER
Active
Organization
SOMERSET MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL W. O'BRIEN (SENIOR VICE PRESIDENT-FINANCE, CFO)
(908) 595-2682
Entity
Organization
Contact information
Practice address
110 REHILL AVE, ATTENTION: SOMERSET FAMILY PRACTICE, SOMERVILLE, NJ 08876-2598
(908) 685-2900
(908) 685-2891
Mailing address
110 REHILL AVE, ADMINISTRATIVE OFFICE, ATTENTION CFO, SOMERVILLE, NJ 08876-2598
(908) 595-2682
(908) 685-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8488002
—
NJ
Enumeration date
02/08/2007
Last updated
09/19/2012
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