Individual
MATTHEW THOMAS SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 HAZARD AVE FL 1, ENFIELD, CT 06082-4520
(860) 930-4249
Mailing address
1070 MAPLETON AVE, SUFFIELD, CT 06078-1380
(860) 930-4249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
84465
CT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
84465
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
06/13/2026
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