Individual
JUSTIN COLIN SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10700 CHARTER DR STE 200, COLUMBIA, MD 21044-3629
(410) 695-9950
(410) 695-9953
Mailing address
10700 CHARTER DR STE 200, COLUMBIA, MD 21044-3629
(410) 695-9950
(410) 695-9953
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
D0062808
MD
Other
Enumeration date
07/08/2005
Last updated
07/24/2023
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