Individual
DR. BRUCE VICTOR SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 AMBOY AVE, METUCHEN, NJ 08840-2553
(732) 603-2220
Mailing address
171 AMBOY AVE, METUCHEN, NJ 08840-2553
(732) 603-2220
(732) 205-1791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39098
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110171260
RAILROADMEDICARE#
NJ
01
—
223584206
TAX IDENTIFICATION NUMBER
NJ
05
—
3421201
—
NJ
Enumeration date
08/03/2006
Last updated
07/08/2007
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