Provider Demographics
NPI:1245520485
Name:JOSEPH, SONYA N (MD)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:N
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MEYER PLACE
Mailing Address - Street 2:
Mailing Address - City:RIVER SIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878
Mailing Address - Country:US
Mailing Address - Phone:203-637-8585
Mailing Address - Fax:203-637-8585
Practice Address - Street 1:7 MEYER PLACE
Practice Address - Street 2:
Practice Address - City:RIVER SIDE
Practice Address - State:CT
Practice Address - Zip Code:06878
Practice Address - Country:US
Practice Address - Phone:203-637-8585
Practice Address - Fax:203-637-8585
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0426052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000003229Medicare UPIN
CTA10640Medicare UPIN