Individual
DR. ANDRE D SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3500
(551) 996-3298
Mailing address
30 PROSPECT AVE FL HALL2, HACKENSACK, NJ 07601-1915
(551) 996-3500
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
224759
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA10770400
NJ
207RP1001X
Pulmonary Disease Physician
224759
NY
207RP1001X
Pulmonary Disease Physician
Primary
25MA10770400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02570607
—
NY
Enumeration date
09/09/2005
Last updated
03/11/2020
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