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Organization
SOTOMAYOR MEDICAL PRACTICE, P.C.
Active
Organization
SOTOMAYOR MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATILDE RODRIGUEZ-SOTOMAYOR M.D. (OWNER)
(610) 898-1200
Entity
Organization
Contact information
Practice address
1220 CENTRE AVE, READING, PA 19601-1458
(610) 898-1200
(610) 898-7600
Mailing address
1220 CENTRE AVE, READING, PA 19601-1458
(610) 898-1200
(610) 898-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
MD032776E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026312170001
—
PA
01
—
PENDING
MEDICARE GROUP # PENDING
PA
Enumeration date
01/09/2007
Last updated
10/17/2011
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