Individual
DR. SONIA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5030 STATE RD, DREXEL HILL, PA 19026-4605
(610) 623-9080
(610) 623-3861
Mailing address
5030 STATE RD, DREXEL HILL, PA 19026-4605
(610) 623-9080
(610) 623-3861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT186919
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020095540002
—
PA
Enumeration date
05/19/2008
Last updated
04/29/2011
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