Healthcare Provider Details

I. General information

NPI: 1568418028
Provider Name (Legal Business Name): SONALEE MANOJ DESAI-BARTOLI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COLISEUM AVE
NASHUA NH
03063-3206
US

IV. Provider business mailing address

5 COLISEUM AVE
NASHUA NH
03063-3206
US

V. Phone/Fax

Practice location:
  • Phone: 603-882-9800
  • Fax: 603-882-0556
Mailing address:
  • Phone: 603-882-9800
  • Fax: 603-882-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number13038
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number225349
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number225349
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number13038
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: