MEDICARE: ALAN SOROKA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	018741	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	018741	OTHER	CT	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	010018741CT03	OTHER	CT	BCBS

General Provider Information

NPI Number	:	1720065428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN SOROKA MD

Provider Business Mailing Address
First Line	:	30 JORDAN LN
Second Line	:
City	:	WETHERSFIELD
State	:	CT
Zip	:	06109-1278
Country	:	US
Telephone Number	:	860-263-0253
Fax Number	:	860-263-0262

Provider Business Practice Location Address
First Line	:	3 CONCORDE WAY
Second Line	:	SUITE 103
City	:	WINDSOR LOCKS
State	:	CT
Zip	:	06096-1542
Country	:	US
Telephone Number	:	860-627-7001
Fax Number	:	860-627-0812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	03/07/2023

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Directions to “ ALAN SOROKA MD” Practice Location

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