Individual
DR. JORGE SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
83 SOUTH ST STE 1, WARE, MA 01082-1659
(413) 967-2800
(413) 967-2806
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001982
NY
207R00000X
Internal Medicine Physician
040549
CT
207RG0100X
Gastroenterology Physician
001982
NY
207RG0100X
Gastroenterology Physician
040549
CT
207RG0100X
Gastroenterology Physician
Primary
230437
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026479501
UNIVERA HEALTHCARE
NY
01
—
000527506
BC/BS
NY
05
—
02503771
—
NY
01
—
0411729
INDEPENDENTHEALTH IPA/WNY
NY
01
—
2217354
FIRST HEALTH NETWORK
NY
01
—
P00151158
RAILROAD MEDICARE PART B
NY
Enumeration date
08/02/2006
Last updated
01/05/2021
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