Individual
MR. EDWARD NICHOLAS SOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(202) 492-2600
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(202) 492-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
032316
NY
363A00000X
Physician Assistant
Primary
23.006666
CT
363A00000X
Physician Assistant
PA100867
MA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032316
NY
NY
01
—
23.006666
STATE OF CONNECTICUT
CT
01
—
PA100867
COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
03/14/2024
Last updated
10/17/2025
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