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Individual
SOPHIA REBECCA BALDERMAN
Active
Individual
SOPHIA REBECCA BALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254222
NY
207RH0000X
Hematology (Internal Medicine) Physician
Primary
254222
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03616828
—
NY
Enumeration date
03/25/2008
Last updated
01/17/2022
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