Individual
MARK SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
196 PARKWAY SOUTH, SUITE 103, WATERFORD, CT 06385
(860) 443-4383
(860) 443-3980
Mailing address
196 PARKWAY SOUTH, SUITE 103, WATERFORD, CT 06385
(860) 443-4383
(860) 443-3980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39440
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001394402
BLUECARE FAMILY PLAN
—
05
—
001394402
—
CT
01
—
010039440CT01
ANTHEM/ECCG: 06-1049086
—
01
—
010039440CT03
ANTHEM/ECCD:06-1616101
—
01
—
038610
CONNECTICARE
—
01
—
060063797
RR MED/ECCG:06-1049086
—
01
—
060064823
RR MED/ECCD:06-1616101
—
01
—
0V7317
HEALTHNET/ECCD:06-1616101
—
01
—
0V8893
HEALTHNET/ECCG:06-1049086
—
01
—
500HBC444CT01
ANTHEM:HOSP-BASED ECCD
—
01
—
P2375792
OXFORD/ECCG:06-1049086
—
01
—
P2524336
OXFORD/ECCD:06-1616101
—
Enumeration date
06/13/2006
Last updated
02/12/2013
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