institution
Shane M Sopp, Md Pc
Gynecology Physician in Syracuse, New York
NPI 1952397705

Shane M Sopp, Md Pc is a Gynecology Physician based in East Syracuse, NY and is specialized in Gynecology. Shane M Sopp, Md Pc practices in Syracuse, NY. The NPI Number for Shane M Sopp, Md Pc is 1952397705 and holds a License No. (New York).

The current practice location address for Shane M Sopp, Md Pc is 4900 Broad Rd, Syracuse, NY and can be reached out via phone at 315-492-5005 and via fax at 315-492-5324.

Location: 4900 Broad Rd, Syracuse, NY, 13057-4503
institution
Provider Profile Details
NPI Number
1952397705
Provider Name
Shane M Sopp, Md Pc
Credential
Provider Entity Type
Organization
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
01992896 05 NY
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
4900 Broad Rd
City
State
Zip
13215-2265
Phone Number
315-492-5005
Fax Number
315-492-5324
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
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Definition
Definition to come...
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