Individual
SONALI A HERATH
Active
Individual
SONALI A HERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055-0031442
VT
363AM0700X
Medical Physician Assistant
Primary
25MP00717000
NJ
Other
Enumeration date
10/08/2019
Last updated
05/28/2024
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