Soroko, Theresa Ann

Soroko, Theresa Ann is an sole proprietor health care provider with primary practice located at 199 Broad St Suite 2A, Bloomfield NJ 07003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Soroko, Theresa Ann can be contacted via phone (973) 748-4583.

Contact Information

Primary practice address
199 Broad St Suite 2A Bloomfield NJ 07003
Phone: (973) 748-4583
Fax: (973) 748-3243
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05040300 New Jersey
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 25MA05040300 New Jersey

Profile Details

NPI number 1407829526
LBN Legal business name Soroko, Theresa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Jun 22nd, 2010 - about 16 years 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 1407829526 NPPES
New Jersey MEDICAID 2101700

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