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1497741243
SHANE M SOPP
SYRACUSE, NY
NPI
1497741243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology Gynecology
(Licence: NY 141803)
Enumeration Date
2005-09-26
Last Update Date
2012-06-18
Business Address
SHANE M SOPP MD
4900 BROAD RD CGH POB SUITE 2V
SYRACUSE, NY 13215-2265
Phone number: 315-492-5005
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Mailing Address
SHANE M SOPP MD
PO BOX 2003
EAST SYRACUSE, NY 13057-4503
Phone number: 315-446-3904
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