Provider Demographics
NPI:1427087360
Name:SORBARA, MARIA ANTONIETTA (DC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANTONIETTA
Last Name:SORBARA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1343
Mailing Address - Country:US
Mailing Address - Phone:609-747-1100
Mailing Address - Fax:609-747-1106
Practice Address - Street 1:321 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1343
Practice Address - Country:US
Practice Address - Phone:609-747-1100
Practice Address - Fax:609-747-1106
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00596800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2417145000OtherHMO AMERIHEALTH
NJ7630563OtherAETNA
NJ3420624OtherAETNA
NJ082989Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL
NJP00209744Medicare ID - Type UnspecifiedRAILROAD MEDICARE
NJ3420624OtherAETNA
PA2417145000OtherHMO AMERIHEALTH