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Individual

JOSEPH J SOMMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
489 STATE ST, EMMC, BANGOR, ME 04401-6616
(207) 973-4519
(207) 992-4132
Mailing address
PO BOX 404, C/O EMMC, BANGOR, ME 04402-0404
(207) 973-4519
(207) 992-4132

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
045654
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200051
BHMH
ME
01
201020
COASTAL EYE SURGERY CENTER
ME
01
JX1787
MEDICARE NUMBER FOR BHMH
ME
Enumeration date
08/19/2006
Last updated
03/19/2010
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