Individual
MS. LISA SONDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
55 SCHANCK RD, FREEHOLD, NJ 07728-2964
(732) 677-3733
Mailing address
47 DOHERTY DR, MIDDLETOWN, NJ 07748-3303
(732) 539-8591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18KT00454900
NJ
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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