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Shane M Sopp, MD
Gynecology Physician in Syracuse, New York
NPI 1497741243

Shane M Sopp is a Gynecology Physician based in East Syracuse, NY and is specialized in Gynecology. Shane M Sopp practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Shane M Sopp is 1497741243 and holds a License No. 141803 (New York).

The current practice location address for Shane M Sopp is 4900 Broad Rd, Syracuse, NY and can be reached out via phone at 315-492-5005 and via fax at 315-492-5324. You can also correspond with Shane M Sopp through the mailing address at PO BOX 2003, EAST SYRACUSE, NY - 13057-4503 (mailing address contact number: 315-446-3904).

Location: 4900 Broad Rd, Syracuse, NY, 13057-4503
person
Provider Profile Details
NPI Number
1497741243
Provider Name
Shane M Sopp
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4900 Broad Rd, Syracuse, NY, 13057-4503
Phone Number
315-492-5005
Fax Number
315-492-5324
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4900 Broad Rd
City
State
Zip
13215-2265
Phone Number
315-492-5005
Fax Number
315-492-5324
person
Provider Business Mailing Address Details
Address
Po Box 2003
City
State
Zip
13057-4503
Phone Number
315-446-3904
Fax Number
315-445-2936
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
141803 (New York)
Definition
Definition to come...
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