Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUANITO T SO, MD
ActiveMR. JUANITO T SO, MD is a Gastroenterology healthcare provider located in AMSTERDAM, New York. NPI 1659370146 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · AMSTERDAM, NY
Registration Details
- NPI Number
- 1659370146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2005 (21.088171477105 yrs)
- Last Updated
- Oct 24, 2013
- Licenses
-
137258/-1 (NY)137258-1 (NY)
Practice Information
- Address
-
380 GUY PARK AVEST. MARY'S HOSPITAL, FAM HLTH CNTR AT CARONDELET PAVILIAMSTERDAM, NY, 12010Browse NY providers · Browse ZIP 12010
- Phone
- 5188417415
- Fax
- 5188417422
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.