Somers, Mark

Somers, Mark is an individual health care provider with primary practice located at 196 Parkway South Suite 103, Waterford CT 06385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Somers, Mark can be contacted via phone (860) 443-4383.

Contact Information

Primary practice address
196 Parkway South Suite 103 Waterford CT 06385
Phone: (860) 443-4383
Fax: (860) 443-3980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39440 Connecticut

Profile Details

NPI number 1255374864
LBN Legal business name Somers, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255374864 NPPES
Other 0V8893 HEALTHNET/ECCG:06-1049086
Other 010039440CT03 HEALTHNET/ECCG:06-1049086
Other 060063797 HEALTHNET/ECCG:06-1049086
Other 001394402 HEALTHNET/ECCG:06-1049086
MEDICAID 001394402 HEALTHNET/ECCG:06-1049086
Other 060064823 HEALTHNET/ECCG:06-1049086
Other P2524336 HEALTHNET/ECCG:06-1049086
Other 010039440CT01 HEALTHNET/ECCG:06-1049086
Other 0V7317 HEALTHNET/ECCG:06-1049086
Other P2375792 HEALTHNET/ECCG:06-1049086
Other 038610 HEALTHNET/ECCG:06-1049086
Other 500HBC444CT01 HEALTHNET/ECCG:06-1049086

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