Organization
DAVID R. SOFAIR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SOFAIR (PRESIDENT)
(914) 588-3569
Entity
Organization
Contact information
Practice address
401 N SAWYER RD, KENDALLVILLE, IN 46755-2568
(260) 494-8129
Mailing address
401 N SAWYER RD, KENDALLVILLE, IN 46755-2568
(260) 494-8129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256766
—
NY
Enumeration date
10/20/2018
Last updated
02/19/2019
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