Provider Demographics
NPI:1881872828
Name:SOKALSKY, BRIAN EDWARD (DO)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:EDWARD
Last Name:SOKALSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 NEW RD STE A
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1252
Mailing Address - Country:US
Mailing Address - Phone:609-904-2565
Mailing Address - Fax:609-904-2566
Practice Address - Street 1:650 NEW RD STE A
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1252
Practice Address - Country:US
Practice Address - Phone:609-904-2565
Practice Address - Fax:609-904-2566
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014263207QS0010X
NJ25MB08601300207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3727331000OtherAMERIHEALTH
NJ160149PFCMedicare PIN