Individual
DR. SORAYA DIBLASSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3670
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3670
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD040485
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2009
Last updated
08/02/2012
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