Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | D61380 | MD |
NPI | 1225095425 |
---|---|
Provider Name | Dr. Joseph M. Sohn |
First Address | Middletown, CT 06457-4777 |
Second Address | Middletown, CT 06457-4777 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 05/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001097900 | (05) | MD |
H91204 | (02) |