Individual provider · Type 1 NPI

Sofia Ida Sorrento

Student in an Organized Health Care Education/Training Program · Malden, MA

NPI number 1104738020 Active

Practice location

350 Cross St
Malden, MA 02148-7917

Call (781) 322-9119 Map

Mailing address

123 Oliver St
Malden, MA 02148-4617

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12 other providers at this address

Other student in an organized health care education/training program providers in Malden

See all in Malden →

About NPI 1104738020

Sofia Ida Sorrento's National Provider Identifier is 1104738020, issued on Sep 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Malden, MA. The record was last updated on Sep 17, 2026.