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Individual
DR. ANDREW THOMAS SORRENTO
Active
Individual
DR. ANDREW THOMAS SORRENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557181
VA
111N00000X
Chiropractor
S03777
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8825-0030
CAREFIRST
MD
01
—
K949-0070
CAREFIRST
VA
Enumeration date
03/19/2014
Last updated
09/01/2015
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