Active NPIIndividual providerSole proprietor

Theresa A Soroko, MD

Internal Medicine, Infectious Disease in Bloomfield, New Jersey

NPI Number1407829526
Practice location
199 Broad St, Suite 2A, Bloomfield, NJ 07003
Fax
973-748-3243
Last updated
June 22, 2010

Theresa Ann Soroko is an Internal Medicine, Infectious Disease based in Bloomfield, NJ. Theresa Ann Soroko practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Theresa Ann Soroko is 1407829526 and holds a License No. 25MA05040300 (NJ). The current practice location address for Theresa Ann Soroko is 199 Broad St, Suite 2A, Bloomfield, NJ 07003 and can be reached out via phone at 973-748-4583 and via fax at 973-748-3243.

Provider Profile Details

NPI Number
1407829526
Provider Name
Theresa Ann Soroko
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
199 Broad St, Suite 2A, Bloomfield, NJ 07003
Phone Number
973-748-4583
Fax Number
973-748-3243
Primary Taxonomy
Internal Medicine, Infectious Disease · 207RI0200X
Sole Proprietor
Yes
Provider Enumeration Date
February 9, 2006
Last Update Date
June 22, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Broad St
Suite 2A
Bloomfield, NJ 07003
Zip
07003
Phone Number
973-748-4583
Fax Number
973-748-3243
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
Po Box 308
Cedar Grove, NJ 07009
City
Cedar Grove
State
NJ
Zip
07009
Phone Number
973-748-4583
Fax Number
973-748-3243

License Information

License Number (1)
25MA05040300
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA05040300
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Infectious Disease · 207RI0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Theresa A Soroko, MD?

The NPI number of Theresa A Soroko, MD is 1407829526. It was assigned on February 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Theresa A Soroko, MD?

Theresa A Soroko, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in NJ under license number 25MA05040300.

Where does Theresa A Soroko, MD practice?

The practice location is 199 Broad St, Suite 2A, Bloomfield, NJ 07003. The office can be reached at 973-748-4583 (phone) or 973-748-3243 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407829526 directly on the NPPES registry website.

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