Individual
SOPHIA REBECCA BALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(716) 845-2300
(716) 845-1759
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-7923
(216) 444-5679
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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