Provider Demographics
NPI:1235373739
Name:SOMERVILLE, AMBER MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:MARGARET
Last Name:SOMERVILLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 CHERRY WOOD WAY
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7942
Mailing Address - Country:US
Mailing Address - Phone:330-687-4140
Mailing Address - Fax:
Practice Address - Street 1:270 E STATE ST STE G100
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4300
Practice Address - Country:US
Practice Address - Phone:330-821-4869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.098217207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology