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NPI Code Detail

MEDICARE: DR. SOMMER LYNN PIO M.D.

MEDICARE: DR. SOMMER LYNN PIO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianC7-0003454DE
22085R0202XDiagnostic Radiology PhysicianMD439652PA

General Provider Information

NPI Number : 1225250384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOMMER LYNN PIO M.D.
Provider Business Mailing Address
First Line : 2450 W HUNTING PARK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1302
Country : US
Telephone Number : 215-707-7237
Fax Number : 215-707-9389
Provider Business Practice Location Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5189
Country : US
Telephone Number : 215-707-7237
Fax Number : 215-707-9389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 09/20/2018

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