Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 72816 | MA |
Y | 2080P0210X | Pediatric Nephrologist | 72816 | MA |
NPI | 1649240425 |
---|---|
Provider Name | Michael J Somers |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 11/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0003884 | NEIGHBORHOOD HEALTH (01) | MA |
072816 | TUFTS (01) | MA |
3107370 | (05) | MA |
A03716 | (02) | MA |
B501026 | CIGNA (01) | MA |
J13559 | BLUE CROSS (01) | MA |
PP491 | HARVARD PILGRIM (01) | MA |