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Individual

SOFIA CAROLINA MASRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
117 S HAMILTON ST, MADISON, WI 53703-4314
(248) 470-6603
Mailing address
117 S HAMILTON ST, MADISON, WI 53703-4314

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
71666
WI
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
MD60403568
WA
207RC0000X
Cardiovascular Disease Physician
71666
WI
207RC0000X
Cardiovascular Disease Physician
MD60403568
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053465658
WA
Enumeration date
01/22/2007
Last updated
10/18/2022
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