Individual
MISS SOPHIA YAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
504 VALLEY RD STE 203, WAYNE, NJ 07470-3534
(973) 686-0700
Mailing address
504 VALLEY RD STE 203, WAYNE, NJ 07470-3534
(973) 686-0700
(973) 686-0701
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB12219100
NJ
Other
Enumeration date
04/15/2019
Last updated
09/27/2024
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