Organization · Type 2 NPI

Sovereign Medical Group LLC

Urology Physician · Fair Lawn, NJ

NPI number 1205125655 Active

Practice location

15-01 Broadway, Suite 1 & 3
Fair Lawn, NJ 07410

Call (201) 791-4544 Map

Fax (201) 794-6970

Mailing address

85 Harristown Rd Fl 2
Glen Rock, NJ 07452-3329

Other practice locations

  • 15-01 Broadway, Suite 1 & 3, Fair Lawn, NJ 07410-6003 · (201) 791-4544

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Clinical Pathology Physician 207ZC0006XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Urology Physician Primary 208800000XNone listed
Pediatric Urology Physician 2088P0231XNone listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

36 other providers at this address

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About NPI 1205125655

Sovereign Medical Group LLC's National Provider Identifier is 1205125655, issued on Apr 6, 2011. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Fair Lawn, NJ. The record was last updated on May 31, 2018.