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NPI Code Detail

MEDICARE: DEBRA LYNNE SOMERS MD

MEDICARE:   DEBRA LYNNE SOMERS  MD
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
1207V00000XObstetrics & Gynecology PhysicianMD045330LPA
2207VG0400XGynecology PhysicianMD045330LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6160042281OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10571741000OTHERPAINDEPENDENCE BLUE CROSS
25305OTHERPABRAVO HEALTH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
430038142OTHERPAKEYSTONE MERCY
51549835OTHERPAUNITED HEALTHCARE
7454528OTHERPACOVENTRY HEALTH AMRICA
84556350OTHERPAAETNA PPO
9729456OTHERPAHIGHMARK BLUE SHIELD
102Y7276OTHERPAHEALTH NET
111075782OTHERPAKEYSTONE MERCY

General Provider Information

NPI Number : 1609850239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA LYNNE SOMERS MD
Provider Business Mailing Address
First Line : PO BOX 820933
Second Line :
City : PHILA
State : PA
Zip : 19182-0933
Country : US
Telephone Number : 215-602-8900
Fax Number : 215-602-8904
Provider Business Practice Location Address
First Line : 9331 OLD BUSTLETON AVE
Second Line : SUITE 203
City : PHILA
State : PA
Zip : 19115-4204
Country : US
Telephone Number : 215-602-8900
Fax Number : 215-602-8904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 01/24/2014

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Directions to “ DEBRA LYNNE SOMERS MD” Practice Location

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