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Individual

MR. LARRY J SOKOLIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 HATFORD ST, HOULTON, ME 04730-1891
(218) 463-1365
(218) 463-4712
Mailing address
22 HATFORD ST, HOULTON, ME 04730-1891
(218) 463-1365
(218) 463-4712

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56427
MN
207R00000X
Internal Medicine Physician
MA063626
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA063626
STATE LICENSE
NJ
Enumeration date
03/22/2007
Last updated
05/06/2020
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