Individual
MICHAEL ANTHONY SORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11546
ZZ
208000000X
Pediatrics Physician
Primary
S8253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1H6148
MEDICARE
TX
05
—
417720601
—
TX
05
—
417720602
—
TX
Enumeration date
06/01/2016
Last updated
04/05/2021
Update your record
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