Healthcare Provider Details

I. General information

NPI: 1255533022
Provider Name (Legal Business Name): ASSOCIATES IN OBSTETRICS & GYNECOLOGY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 E BROAD ST
WESTFIELD NJ
07090-2116
US

IV. Provider business mailing address

522 E BROAD ST
WESTFIELD NJ
07090-2116
US

V. Phone/Fax

Practice location:
  • Phone: 908-232-2639
  • Fax: 908-232-3575
Mailing address:
  • Phone: 908-232-2639
  • Fax: 908-232-3575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY L SOFFER
Title or Position: PRESDIENT
Credential: MD
Phone: 908-232-2639