1598917809 NPI number — DR. DEBORAH SINGER SOFFEN M.D.

Table of content: DR. DEBORAH SINGER SOFFEN M.D. (NPI 1598917809)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598917809 NPI number — DR. DEBORAH SINGER SOFFEN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGER SOFFEN
Provider First Name:
DEBORAH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SINGER
Provider Other First Name:
DEBORAH
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1598917809
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
WASHINGTON RD
Provider Second Line Business Mailing Address:
MCCOSH HEALTH CTR
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08544-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-258-3141
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
WASHINGTON RD
Provider Second Line Business Practice Location Address:
MCCOSH HEALTH CTR
Provider Business Practice Location Address City Name:
PRINCETON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08544-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-258-3141
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  MA 057114 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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