Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 177451-1 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 25MA06303500 | NJ |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME91602 | FL |
NPI | 1629124722 |
---|---|
Provider Name | Dr. Mark Sobel |
First Address | Atlantic Highlands, NJ 07716-6354 |
Second Address | Atlantic Highlands, NJ 07716-6354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 20/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F24058 | (02) | NY |