| Organization Name: | ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER |
| NPI Number: | 1154377877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXIS CORAZON (OWNER) |
| Mailing Address: | 355 Totowa Ave Paterson |
| State: | NJ US |
| Postal Code: | 075022125 |
| Phone Number: | 9733891300 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 06/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MA63961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |