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1508442328
MATTHEW THOMAS SOMERVILLE
WINSTON SALEM, NC
NPI
1508442328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
MATTHEW THOMAS SOMERVILLE MD
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2694
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Mailing Address
MATTHEW THOMAS SOMERVILLE MD
1070 MAPLETON AVE
SUFFIELD, CT 06078-1380
Phone number: 860-930-4249
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