Individual provider · Type 1 NPI
Sofia Marie Mandia
Medical Physician Assistant · Philadelphia, PA
NPI number
1316461767
Active
Practice location
3400 Spruce St, 2 Silverstein
Philadelphia, PA 19104-4238
Fax (215) 349-5534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | MA059126 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1316461767
Sofia Marie Mandia's National Provider Identifier is 1316461767, issued on Jul 27, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 12, 2019.