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NPI Code Detail

MEDICARE: MARK IRA SOTSKY MD

MEDICARE: MARK IRA SOTSKY 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
1207RC0000XCardiovascular Disease PhysicianMA069231NJ

General Provider Information

NPI Number : 1922070150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK IRA SOTSKY MD
Provider Business Mailing Address
First Line : 1200 E RIDGEWOOD AVE
Second Line : 2ND FLOOR E WING
City : RIDGEWOOD
State : NJ
Zip : 07450-3957
Country : US
Telephone Number : 201-670-8660
Fax Number : 201-447-1957
Provider Business Practice Location Address
First Line : 1200 E RIDGEWOOD AVE
Second Line : 2ND FLOOR E WING
City : RIDGEWOOD
State : NJ
Zip : 07450-3957
Country : US
Telephone Number : 201-670-8660
Fax Number : 201-447-1957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 06/05/2014

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Directions to “ MARK IRA SOTSKY MD” Practice Location

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