Individual
DEBRA LYNNE SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9331 OLD BUSTLETON AVE, SUITE 203, PHILA, PA 19115-4204
(215) 602-8900
(215) 602-8904
Mailing address
PO BOX 820933, PHILA, PA 19182-0933
(215) 602-8900
(215) 602-8904
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD045330L
PA
207VG0400X
Gynecology Physician
Primary
MD045330L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001689793
—
PA
01
—
0571741000
INDEPENDENCE BLUE CROSS
PA
01
—
1075782
KEYSTONE MERCY
PA
01
—
1549835
UNITED HEALTHCARE
PA
01
—
160042281
RAILROAD MEDICARE
PA
01
—
2Y7276
HEALTH NET
PA
01
—
30038142
KEYSTONE MERCY
PA
01
—
454528
COVENTRY HEALTH AMRICA
PA
01
—
4556350
AETNA PPO
PA
01
—
5305
BRAVO HEALTH
PA
01
—
729456
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/06/2005
Last updated
01/24/2014
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