Individual
DR. SONIA I MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 ROUTE 168, SUITE J2, TURNERSVILLE, NJ 08012
(856) 228-1103
(856) 374-1238
Mailing address
900 ROUTE 168, SUITE J2, TURNERSVILLE, NJ 08012
(856) 228-1103
(856) 374-1238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02818100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119803
—
NJ
Enumeration date
02/26/2007
Last updated
07/08/2007
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