Individual
SOFIA MARIE MANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, 2 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Mailing address
3400 SPRUCE ST, 2 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059126
PA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/27/2017
Last updated
08/12/2019
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