Healthcare Provider Details

I. General information

NPI: 1477869170
Provider Name (Legal Business Name): SONOLY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401A CONNECTICUT AVE NW SUIT 276
WASHINGTON DC
20008-2358
US

IV. Provider business mailing address

4401A CONNECTICUT AVE NW SUIT 276
WASHINGTON DC
20008-2358
US

V. Phone/Fax

Practice location:
  • Phone: 240-604-2500
  • Fax: 202-207-2803
Mailing address:
  • Phone: 240-604-2500
  • Fax: 202-207-2803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberMD3766
License Number StateDC

VIII. Authorized Official

Name: DR. ROBERT HENRY WILLIAMS
Title or Position: CEO/PRESIDENT
Credential: M.D.
Phone: 240-604-2500