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Individual

DR. GARY K SOFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 785-4643
Mailing address
PO BOX 208064, NEW HAVEN, CT 06520-8064

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
283311-1
NY
207K00000X
Allergy & Immunology Physician
Primary
61789
CT
208000000X
Pediatrics Physician
283311-1
NY

Other

Enumeration date
06/07/2013
Last updated
10/29/2018
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