Individual
JOHN JAMES SOBOTKA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2645
Mailing address
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
25MA11054300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2017
Last updated
08/02/2022
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