Individual
DR. JUDITH SOBOWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 CARTER ST, ROCHESTER, NY 14621-2604
(585) 338-1400
(585) 339-9442
Mailing address
800 CARTER ST, C/O CREDENTIALING DEPARTMENT, ROCHESTER, NY 14621-2604
(585) 336-4858
(585) 336-4845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
188330
NY
207RI0200X
Infectious Disease Physician
Primary
188330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01668102
—
NY
Enumeration date
08/04/2006
Last updated
01/07/2010
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