Most Relevant Information
Provider Data
| NPI Number: | 1003372640 |
| Provider Name: | SUJATHA SONI HERNE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2019 |
| Last Updated: | 02/19/2019 |
Provider Practice Location
91 NORTHWEST DR
PLAINVILLE
CT
060621534
Practice Location Phone/Fax
| Phone: | 8607933500 |
| Fax: |
Provider Mailing Location
562B ONEIDA LN
STRATFORD
CT
066148310
Provider Mailing Phone/Fax
| Phone: | 2039844271 |
| Fax: |