Individual
SOPHIA MICHAILIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3701 CORRIERE RD STE 25, EASTON, PA 18045-7991
(484) 591-7000
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS008048L
PA
207QB0002X
Obesity Medicine (Family Medicine) Physician
246455
MA
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
OS008048L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI464401
MEDICARE
PA
Enumeration date
07/05/2006
Last updated
04/18/2025
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