Organization · Type 2 NPI

Shane M Sopp, MD PC

Gynecology Physician · Syracuse, NY

NPI number 1952397705 Active

Practice location

4900 Broad Rd, Cgh Pob Suite 2V
Syracuse, NY 13215-2265

Fax (315) 492-5324

Mailing address

PO Box 2003
East Syracuse, NY 13057-4503

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XNone listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1952397705

Shane M Sopp, MD PC's National Provider Identifier is 1952397705, issued on Sep 26, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Syracuse, NY. The record was last updated on Feb 7, 2008.