Provider Demographics
NPI:1215968136
Name:GUIRGUIS, SONIA S (MD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:S
Last Name:GUIRGUIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 SCHANCK RD STE 203
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2974
Mailing Address - Country:US
Mailing Address - Phone:732-431-3382
Mailing Address - Fax:732-294-9794
Practice Address - Street 1:222 SCHANCK RD STE 203
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2974
Practice Address - Country:US
Practice Address - Phone:732-431-8266
Practice Address - Fax:732-294-9794
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05669900207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ04540552OtherAMERIGROUP
NJ1215968136OtherUS FAMILY HEALTH
NJ5540280OtherAETNA PPO
NJ60206596OtherHORIZON NJ HEALTH
NJ7129055OtherAETNA HMO
NJ6322701Medicaid
NJ1215968136OtherTRICARE HEALTHNET FEDERAL SERVICES
NJ7N2932OtherEMPIRE BC
NJ111742OtherCHN
NJ1215968136OtherUNITED HEALTHCARE
NJ5428754OtherEMBLEM HEALTH GHI
NJ1215968136OtherHBCBS
NJ1215968136OtherWELLCARE
NJ1215968136OtherAMERIHEALTH
NJ7N2931OtherEMPIRE BC
NJP5627313OtherUHC OXFORD
NJ1215968136OtherQUALCARE
NJ1791946OtherCIGNA