Type 2 organization · NPI 1710282082

SOVEREIGN MEDICAL GROUP LLC

208800000X · ORADELL, NJ

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
208800000X 208800000X Primary
207R00000X 207R00000X Additional
207RG0100X 207RG0100X Additional
207V00000X 207V00000X Additional
207ZC0006X 207ZC0006X Additional
2085D0003X 2085D0003X Additional
2085N0700X 2085N0700X Additional
2085R0001X 2085R0001X Additional
2085R0202X 2085R0202X Additional
2085R0204X 2085R0204X Additional
2085U0001X 2085U0001X Additional
208600000X 208600000X Additional
2088P0231X 2088P0231X Additional
208C00000X 208C00000X Additional
291U00000X 291U00000X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s