National Provider Identifier
Jonathan Matthew Soh, M.D.
Jonathan Matthew Soh, M.D. is listed in the NPPES registry with a primary specialty of MOHS-Micrographic Surgery Physician in Rochester, NY and a listed phone number of (716) 755-6647.
Profile Overview
- NPI
- 1104271840
- Provider Type
- Individual
- Primary Specialty
- MOHS-Micrographic Surgery Physician
- Enumeration Date
- May 02, 2016
- Last Updated
- August 08, 2024
Practice Location
- 505 Beahan RD
- Rochester, NY 14624-3403
Phone: (716) 755-6647
Specialties
- MOHS-Micrographic Surgery Physician (207ND0101X)
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1104271840
- Entity Type
- Individual
- Last Name
- Soh
- First Name
- Jonathan
- Middle Name
- Matthew
- Credential
- M.D.
- Mailing Street Address
- 505 Beahan RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-3403
- Mailing Country
- US
- Mailing Phone
- (585) 877-6647
- Mailing Fax
- (585) 877-6648
- Practice Street Address
- 505 Beahan RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-3403
- Practice Country
- US
- Practice Phone
- (716) 755-6647
- Practice Fax
- (716) 755-6648
- Enumeration Date
- May 02, 2016
- Last Updated
- August 08, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- MOHS-Micrographic Surgery Physician (207ND0101X), Dermatology Physician (207N00000X)