Individual
CONSTANCIA SOMERA UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 BERGEN ST, DOC 5100, NEWARK, NJ 07103-2425
(973) 972-5779
(973) 972-5895
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
25MA02828000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3791807
—
NJ
Enumeration date
11/07/2006
Last updated
08/20/2009
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