Individual
SOPHIA ROSE MARTONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 332-9653
Mailing address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 332-9653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2022
Last updated
09/14/2023
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