Healthcare Provider Details
I. General information
NPI: 1457779472
Provider Name (Legal Business Name): ALEX J SORIANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/07/2014
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 PROGRESS DR. STE 202
DOYLESTOWN PA
18901-2516
US
IV. Provider business mailing address
331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
RED BANK NJ
07701
US
V. Phone/Fax
- Phone: 215-230-5296
- Fax: 215-230-3725
- Phone: 732-807-0877
- Fax: 201-751-1680
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VF0040X |
| Taxonomy | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| License Number | 25MA12992800 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD467867 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VF0040X |
| Taxonomy | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| License Number | MD467867 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: