Individual
GARY SOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 W MAIN ST, NORWICH, CT 06360-5413
(860) 889-8785
(860) 889-7474
Mailing address
318 W MAIN ST, NORWICH, CT 06360-5413
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004015699-00
BLUCARE FAMILY PLAN
CT
01
—
12DME0121CT01
ANTHEM BLUE CROSS
CT
01
—
OR4680
HEALTHNET
CT
Enumeration date
01/25/2007
Last updated
07/08/2007
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