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Individual

SAMIR SODHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 W GRAND AVE, MONTVALE, NJ 07645-1813
(800) 321-9999
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
232360
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
232360
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02571819
NY
Enumeration date
07/26/2005
Last updated
04/02/2019
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