Doctor Name: | DR. CHARLES A SOMMER |
NPI Number: | 1205821410 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 159558 |
Business Practice Address: | 94 South St Southbridge, MA - 015504000 |
Business Phone Number: | 5087642772 |
Business Fax Number: | 5087642833 |
Mailing Address: | 94 South St, SOUTHBRIDGE |
State: | MA |
Postal Code: | 015504000 |
Phone Number: | 5087642772 |
Fax Number: | 5087642833 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 159558 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |