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Individual

DR. ROBERT JAY SOMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 342-3616
Mailing address
630 W 168TH ST # 4, VC 12TH FLOOR, SUITE 208, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
166675
NY
207RC0000X
Cardiovascular Disease Physician
166675
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01263487
NY
Enumeration date
08/01/2006
Last updated
05/18/2021
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