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Individual

SOFIA MONTEBLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3031
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H0065113
MD
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
Primary
H0065113
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
0102201837
VA

Other

Enumeration date
07/09/2006
Last updated
01/15/2020
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