Basic Information
| Provider Information | |||||||||
| NPI: | 1447493820 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOOD | ||||||||
| FirstName: | AMIT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 784 FRANKLIN AVENUE | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | FRANKLIN LAKES | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2015600711 | ||||||||
| FaxNumber: | 2015600712 | ||||||||
| Practice Location | |||||||||
| Address1: | 784 FRANKLIN AVENUE | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | FRANKLIN LAKES | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2015600711 | ||||||||
| FaxNumber: | 2015600712 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2009 | ||||||||
| LastUpdateDate: | 09/18/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 257989 | MA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 25MA09661500 | NJ | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.