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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750370110 NPPES
New Jersey MEDICAID 8575703

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