Organization
SOFIA SURIEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFIA M SURIEL M. D. (PRESIDENT)
(410) 248-3124
Entity
Organization
Contact information
Practice address
8870 BELAIR RD, NOTTINGHAM, MD 21236-2401
(410) 248-3124
(410) 248-3125
Mailing address
308 E TIMONIUM RD, TIMONIUM, MD 21093-2836
(410) 248-3124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0J0M
BCBS
MD
05
—
185191800
—
MD
01
—
9010
CAREFIRST BLUECHOICE
MD
01
—
W488
BCBS
MD
Enumeration date
05/30/2008
Last updated
07/21/2022
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