Individual
MARIA L. SOTO-GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, DOC 4500, NEWARK, NJ 07103-2425
(973) 972-2500
(973) 972-2510
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA04066900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA04066900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009609
—
NJ
Enumeration date
10/13/2006
Last updated
07/15/2009
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