Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD030233E | PA |
NPI | 1043321961 |
---|---|
Provider Name | Antonio E. Sotomayor |
First Address | Reading, PA 19601-1458 |
Second Address | Reading, PA 19601-1458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/12/2016 |