Mondestin Sorrentino, Myriam
Mondestin Sorrentino, Myriam is an individual health care provider with primary practice located at 2301 E Evesham Rd Bld 800, Voorhees NJ 08043-4501. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Mondestin Sorrentino, Myriam can be contacted via phone (856) 772-1225.Contact Information
Primary practice address
2301 E Evesham Rd Bld 800
Voorhees NJ 08043-4501
Phone: (856) 772-1225
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA06923000 | New Jersey |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD448921 | Pennsylvania |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD448921 | Pennsylvania |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 25MA06923000 | New Jersey |
Profile Details
NPI number | 1750370110 |
---|---|
LBN Legal business name | Mondestin Sorrentino, Myriam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2005 |
Last updated | Apr 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750370110 | NPPES |
New Jersey | MEDICAID | 8575703 |
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