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Individual

DR. OLGA BIENVENIDA SOTO-MOISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
151 KNOLLCROFT RD, LYONS VAMC BLDG 143 BP PTSD UNIT, LYONS, NJ 07939-5001
(908) 647-0180
(908) 604-5258
Mailing address
6 WISHNOW WAY, BRIDGEWATER, NJ 08807-1481
(908) 252-0553
(908) 604-5258

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208310
NY
2084P0800X
Psychiatry Physician
25MA06606600
NJ
2084P0805X
Geriatric Psychiatry Physician
25MA06606600
NJ

Other

Enumeration date
09/03/2006
Last updated
05/07/2014
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