MEDICARE: JAY SOKOLOW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	026854	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	300084630	OTHER	CT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	784315	OTHER	CT	CONNECTICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2020293	OTHER	CT	AETNA
5	ANC1300	OTHER	CT	OXFORD
6	010026854CT08	OTHER	CT	ANTHEMBCBS
7	OV7658	OTHER	CT	HEALTHNET
8	010026854CT09	OTHER	CT	ANTHEM BCBS

General Provider Information

NPI Number	:	1669571154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY SOKOLOW MD

Provider Business Mailing Address
First Line	:	6 BUSINESS PARK DR
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-2988
Country	:	US
Telephone Number	:	203-481-5397
Fax Number	:	203-483-8322

Provider Business Practice Location Address
First Line	:	6 BUSINESS PARK DR
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-2988
Country	:	US
Telephone Number	:	203-481-5397
Fax Number	:	203-483-8322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/08/2013

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Directions to “ JAY SOKOLOW MD” Practice Location

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