Provider Demographics
NPI:1932179504
Name:SORRENTINO, JOHN P (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:SORRENTINO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:46 DAGGETT DR
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4638
Mailing Address - Country:US
Mailing Address - Phone:413-747-4544
Mailing Address - Fax:413-747-4552
Practice Address - Street 1:46 DAGGETT DR
Practice Address - Street 2:SUITE 3B
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4638
Practice Address - Country:US
Practice Address - Phone:413-747-4544
Practice Address - Fax:413-747-4552
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA33835207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology