Provider Demographics
NPI:1467401836
Name:SONSHINE CENTER FOR PRIMARY CARE
Entity Type:Organization
Organization Name:SONSHINE CENTER FOR PRIMARY CARE
Other - Org Name:SONSHINE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CURRY-BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-940-7300
Mailing Address - Street 1:2864 ROUTE 27
Mailing Address - Street 2:SUITE-A
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-5010
Mailing Address - Country:US
Mailing Address - Phone:732-940-7300
Mailing Address - Fax:732-940-7003
Practice Address - Street 1:2864 ROUTE 27
Practice Address - Street 2:SUITE-A
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-5010
Practice Address - Country:US
Practice Address - Phone:732-940-7300
Practice Address - Fax:732-940-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ42-169049000OtherNJ TIN