Healthcare Provider Details

I. General information

NPI: 1093699001
Provider Name (Legal Business Name): ANUJA SONETA RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VERMELLA WAY APT 2020
UNION NJ
07083-2608
US

IV. Provider business mailing address

1 VERMELLA WAY APT 2020
UNION NJ
07083-2608
US

V. Phone/Fax

Practice location:
  • Phone: 919-869-6678
  • Fax:
Mailing address:
  • Phone: 919-869-6678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: