Provider Demographics
NPI:1528206828
Name:JAUHAR, SONIA S
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:S
Last Name:JAUHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 INMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1177
Mailing Address - Country:US
Mailing Address - Phone:516-674-6171
Mailing Address - Fax:908-757-0942
Practice Address - Street 1:333 GLEN HEAD RD
Practice Address - Street 2:STE 220
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1962
Practice Address - Country:US
Practice Address - Phone:732-225-9115
Practice Address - Fax:732-225-2814
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224325207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism