Provider Demographics
NPI:1801389903
Name:SONJA ABBASSI MD
Entity Type:Organization
Organization Name:SONJA ABBASSI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-376-6100
Mailing Address - Street 1:1618 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2163
Mailing Address - Country:US
Mailing Address - Phone:973-253-3400
Mailing Address - Fax:302-503-3810
Practice Address - Street 1:1618 MAIN AVENUE
Practice Address - Street 2:1618 MAIN AVENUE
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011
Practice Address - Country:US
Practice Address - Phone:973-253-3400
Practice Address - Fax:302-503-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty