Provider Demographics
NPI:1962450536
Name:SOFFER, STEPHEN R (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:SOFFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2201 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1189
Mailing Address - Country:US
Mailing Address - Phone:610-375-4949
Mailing Address - Fax:610-375-6233
Practice Address - Street 1:2201 RIDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1189
Practice Address - Country:US
Practice Address - Phone:610-375-4949
Practice Address - Fax:610-375-6233
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2008-06-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD046649L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE81223Medicare UPIN
PA683974Medicare PIN