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Organization

SOMERSET MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL W. O'BRIEN (SENIOR VICE PRESIDENT-FINANCE, CFO)
(908) 595-2682
Entity
Organization

Contact information

Practice address
110 REHILL AVE, ATTENTION: SOMERSET FAMILY PRACTICE, SOMERVILLE, NJ 08876-2598
(908) 685-2900
(908) 685-2891
Mailing address
110 REHILL AVE, ADMINISTRATIVE OFFICE, ATTENTION CFO, SOMERVILLE, NJ 08876-2598
(908) 595-2682
(908) 685-2894

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207Q00000X
Family Medicine Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207V00000X
Obstetrics & Gynecology Physician
2080S0012X
Pediatric Sleep Medicine Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8488002
NJ
Enumeration date
02/08/2007
Last updated
09/19/2012
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