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Individual

DR. JOSHUA A SOCOLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
506 6TH ST, DEPT OF CARDIOLOGY, BROOKLYN, NY 11215-3609
(718) 780-5037
Mailing address
50 MURRAY ST, APT 302, NEW YORK, NY 10007-2252
(708) 856-2192

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036110741
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036110741
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01621208
BLUE CROSS BLUE SHIELD
IL
05
02985757
NY
05
036110741
IL
01
236550
MEDICARE GROUP
IL
01
236551
MEDICARE GROUP
IL
01
416810
MEDICARE GROUP
IL
01
P00110166
RAILROAD MEDICARE COOK
IL
01
P00227169
RAILROAD MEDICARE WILL
IL
Enumeration date
04/14/2006
Last updated
08/20/2024
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