Provider Demographics
NPI:1861671505
Name:SOMMERVILLE, MARGARET LITWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LITWIN
Last Name:SOMMERVILLE
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 1:5530 WISCONSIN AVE STE 830
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4461
Mailing Address - Country:US
Mailing Address - Phone:301-656-7546
Mailing Address - Fax:301-656-4336
Practice Address - Street 1:5530 WISCONSIN AVE STE 830
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4461
Practice Address - Country:US
Practice Address - Phone:301-656-7546
Practice Address - Fax:301-469-4952
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2008-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061245207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G17729Medicare UPIN
MDG02819C01Medicare PIN