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General NPI Number Information
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NPI Number | 1811946494
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Entity Type | Individual
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Provider Name | JANE SOFAIR MD
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 597 SPRINGFIELD AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-4503
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Country | US
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Telephone | 973-292-0960
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Fax | 908-634-6138
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Provider Business Mailing Address
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Address Line | PO BOX 527
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-0527
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Country | US
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Telephone | 973-292-0960
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Fax | 908-634-6138
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA04990500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 04950/8
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License Number State | CT
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