Provider Demographics
NPI:1417975749
Name:SOKOL, DEBORAH K (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:SOKOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PLAINSBORO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1915
Mailing Address - Country:US
Mailing Address - Phone:609-750-3040
Mailing Address - Fax:609-683-6912
Practice Address - Street 1:1315 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3815
Practice Address - Country:US
Practice Address - Phone:609-750-3040
Practice Address - Fax:609-683-6912
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06216600207RG0100X
PAMD047975L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6663401Medicaid
NJ6663401Medicaid
NJG12917Medicare UPIN