Healthcare Provider Details

I. General information

NPI: 1760178933
Provider Name (Legal Business Name): MARC QUENTIN SONNIER JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 W SHERMAN AVE
VINELAND NJ
08360-7059
US

IV. Provider business mailing address

312 FAIRFAX WAY
BIRMINGHAM AL
35242-7110
US

V. Phone/Fax

Practice location:
  • Phone: 856-641-6023
  • Fax: 856-575-4944
Mailing address:
  • Phone: 678-274-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1760178933
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: