Individual
CORY BENJAMIN SOMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(443) 536-5621
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(443) 536-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R231671
MD
Other
Enumeration date
02/22/2024
Last updated
06/29/2024
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