Provider Demographics
NPI:1407063373
Name:SOMMER, DIANE RITA (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:RITA
Last Name:SOMMER
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 1:300 FOSTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-6531
Mailing Address - Country:US
Mailing Address - Phone:845-386-6821
Mailing Address - Fax:845-386-6733
Practice Address - Street 1:300 FOSTER HILL RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-6531
Practice Address - Country:US
Practice Address - Phone:570-807-4266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223612-1208D00000X
PAMD043674E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice