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Individual

MICHAEL J SOMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6129
(617) 730-0569
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6129
(617) 730-0569

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72816
MA
2080P0210X
Pediatric Nephrology Physician
Primary
72816
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003884
NEIGHBORHOOD HEALTH
MA
01
072816
TUFTS
MA
05
3107370
MA
01
B501026
CIGNA
MA
01
J13559
BLUE CROSS
MA
01
PP491
HARVARD PILGRIM
MA
Enumeration date
01/25/2006
Last updated
02/11/2014
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