Provider Demographics
NPI:1316109119
Name:JOHN, SONY P (MD)
Entity type:Individual
Prefix:DR
First Name:SONY
Middle Name:P
Last Name:JOHN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:412 CREAMERY WAY
Mailing Address - Street 2:STE 400
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2551
Mailing Address - Country:US
Mailing Address - Phone:610-594-7590
Mailing Address - Fax:610-594-2625
Practice Address - Street 1:404 MCFARLAN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348
Practice Address - Country:US
Practice Address - Phone:610-925-3834
Practice Address - Fax:610-925-3834
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2021-05-12
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Provider Licenses
StateLicense IDTaxonomies
PAMD444084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine