Individual
SUSAN W. SOMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4900 FRANKFORD AVE, PHILADELPHIA, PA 19124-2618
(215) 612-4963
(215) 807-8235
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP003429B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364458
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/10/2007
Last updated
07/17/2007
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