Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 25MA58752 | NJ |
NPI | 1508801432 |
---|---|
Provider Name | Dr. Gara Sommers |
First Address | Teaneck, NJ 07666-4245 |
Second Address | Teaneck, NJ 07666-4245 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 28/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5343402 | (05) | NJ |
B12351 | (02) |