MEDICARE: HERBERT 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
1	207VG0400X	Gynecology Physician	MD027457L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	160038634	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5906	OTHER	PA	BRAVO HEALTH
3	0183363	OTHER	PA	HIGHMARK BLUE SHIELD
4	30038138	OTHER	PA	KEYSTONE MERCY HEALTH
6	3Y4126	OTHER	PA	HEALTH NET
7	0052728000	OTHER	PA	INDEPENDENCE BLUE CROSS
8	30008921	OTHER	PA	KEYSTONE MERCY HEALTH
9	4482994	OTHER	PA	AETNA PPO
10	P938413	OTHER	PA	OXFORD
11	454512	OTHER	PA	COVENTRY HEALTH AMERICA

General Provider Information

NPI Number	:	1952387128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT SOMERS MD

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-926-9010
Fax Number	:	215-226-8285

Provider Business Practice Location Address
First Line	:	9331 OLD BUSTLETON AVE
Second Line	:	SUITE 203
City	:	PHILA
State	:	PA
Zip	:	19115-4634
Country	:	US
Telephone Number	:	215-602-8900
Fax Number	:	215-602-8904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	07/19/2011

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Directions to “ HERBERT SOMERS MD” Practice Location

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