31D1090888 CLIA NUMBER - JOANN SOMERS MD PA

Laboratory Demographics

CLIA Number: 31D1090888

Facility Name: JOANN SOMERS MD PA

Facility Address:
22 OLD SHORT HILLS ROAD SUITE 204
LIVINGSTON, NJ
ZIP 07039
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Facility Phone Number: 973 533-0638

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821177064

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	31D1090888
LAB Type	Physician Office
Facility Name	JOANN SOMERS MD PA
Street	22 OLD SHORT HILLS ROAD SUITE 204
City	LIVINGSTON
State	NJ
ZIP	07039
Phone	973 533-0638
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024