Individual
SIDRA SOHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
181 FRANKLIN AVE, NUTLEY, NJ 07110-3820
(973) 389-5292
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11191700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2018
Last updated
12/03/2021
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