Provider Demographics
NPI:1932285160
Name:SOKACH, MARY ELIZABETH (DO)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:SOKACH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1084 ROUTE 315
Mailing Address - Street 2:
Mailing Address - City:WILKES-BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-7012
Mailing Address - Country:US
Mailing Address - Phone:570-825-8741
Mailing Address - Fax:570-825-8990
Practice Address - Street 1:EXETER TOWNSHIP HEALTH CENTER
Practice Address - Street 2:ROUTE 92
Practice Address - City:FALLS
Practice Address - State:PA
Practice Address - Zip Code:18615-9781
Practice Address - Country:US
Practice Address - Phone:570-388-6151
Practice Address - Fax:570-388-2046
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2009-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008860L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G17889Medicare UPIN