Organization
SOMERVILLE SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SOMERVILLE MD (OWNER)
(410) 910-2310
Entity
Organization
Contact information
Practice address
10700 CHARTER DR STE 200, COLUMBIA, MD 21044-3629
(410) 446-7431
(410) 910-2310
Mailing address
310 LYON CT, PIKESVILLE, MD 21208-1195
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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