Individual
DR. SONOO KISHU ADVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 OLD SHORT HILLS RD STE 502, WEST ORANGE, NJ 07052-1023
(973) 992-4433
(973) 992-1313
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA068064
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K8426
HEALTHNET
NJ
01
—
3844279
AETNA/HMO
NJ
01
—
7909182
AETNA/PPO
NJ
01
—
P2207319
OXFORD
NJ
Enumeration date
04/19/2006
Last updated
10/11/2021
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