Organization
SOMATUS IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA J PALMER (AUTHORIZED OFFICIAL)
(202) 236-7061
Entity
Organization
Contact information
Practice address
80 ORVILLE DR STE 100, BOHEMIA, NY 11716-2505
(571) 992-0600
Mailing address
1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
(703) 955-2941
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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