Basic Information
Provider Information
NPI: 1386692192
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SONI
FirstName: MONIKA
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 8500
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191780001
CountryCode: US
TelephoneNumber: 3027094505
FaxNumber: 3027330854
Practice Location
Address1: 501 WEST FRONT ST.
Address2: SO JERSEY ELMER HOSPITAL
City: ELMER
State: NJ
PostalCode: 08318
CountryCode: US
TelephoneNumber: 8566418000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X25MA08018200NJY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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