Provider Demographics
NPI:1861504359
Name:SOLT, VERONIKA M (MD)
Entity Type:Individual
Prefix:
First Name:VERONIKA
Middle Name:M
Last Name:SOLT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1122 US HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2812
Mailing Address - Country:US
Mailing Address - Phone:908-654-7501
Mailing Address - Fax:908-654-7422
Practice Address - Street 1:1122 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2812
Practice Address - Country:US
Practice Address - Phone:908-654-7501
Practice Address - Fax:908-654-7422
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA570862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6187005Medicaid
NJ6187005Medicaid
NJ049498Medicare ID - Type Unspecified