Individual
MARK J SOFFER
Active
Individual
MARK J SOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25MA04412300
NJ
207RI0011X
Interventional Cardiology Physician
MD024817E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054974000
AMERIHEALTH
NJ
01
—
0300863000
KEYSTONE
PA
01
—
033779
PENNSYLVANIA BLUE SHIELD
NJ
01
—
060045609
RAILROAD MEDICARE
NJ
05
—
0766704
—
NJ
05
—
0766704
—
PA
01
—
423703
PENNSYLVANIA BLUE SHIELD
PA
Enumeration date
03/02/2006
Last updated
05/24/2021
Update your record
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