Individual
JEANNINE SOPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
33 OVERLOOK RD, SUMMIT, NJ 07901-3570
(908) 598-1500
Mailing address
123 HENDEL AVE, NORTH ARLINGTON, NJ 07031-5911
(201) 406-2541
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26NO011713900
NJ
367500000X
Certified Registered Nurse Anesthetist
26NJ00532500
NJ
Other
Enumeration date
06/22/2014
Last updated
09/21/2018
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