Individual
DR. MARK S SOFAIR-FISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2737 PRINCETON PIKE, LAWRENCEVILLE, NJ 08648-3220
(609) 883-2577
Mailing address
5 ELLIS ST, WEST ORANGE, NJ 07052-3612
(973) 669-3333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC000043500
NJ
103TC0700X
Clinical Psychologist
Primary
35S100432500
NJ
Other
Enumeration date
06/06/2006
Last updated
07/11/2011
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