Individual
STUART SORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 276-7623
Mailing address
1563 E DOROTHY LN, SUITE 101, KETTERING, OH 45429-3897
(937) 296-0253
(937) 293-3183
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35044820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2271160
—
OH
01
—
300042332
RAILROAD MEDICARE
OH
01
—
CK1297
MEDICARE RAILROAD
OH
Enumeration date
08/01/2006
Last updated
05/12/2008
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