# POONAM SONI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083835706
- **Authorized official:** POONAM SONI M.D. (OWNER)
- **Authorized official phone:** (609) 597-5699

## Contact information

- **Practice address:** 697 MILL CREEK RD, UNIT \#1, MANAHAWKIN, NJ 08050-3361
- **Practice address phone:** (609) 597-5699
- **Practice address fax:** (609) 597-5722
- **Mailing address:** 697 MILL CREEK RD, UNIT \#1, MANAHAWKIN, NJ 08050-3361
- **Mailing address phone:** (609) 597-5699
- **Mailing address fax:** (609) 597-5722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07986500 | NJ | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 10/02/2008