Individual
DHARA SONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(630) 200-2055
Mailing address
101 ROOSEVELT AVE, 216, CARTERET, NJ 07008-2491
(630) 200-2055
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003116
CT
390200000X
Student in an Organized Health Care Education/Training Program
016846
NY
Other
Enumeration date
09/06/2013
Last updated
03/24/2015
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