Individual
SOPHIA KOTLIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 BOW ST, DEPARTMENT OF PATHOLOGY, ELKTON, MD 21921-5544
(443) 674-1289
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7050
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
C10004615
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018052100002
—
PA
Enumeration date
07/26/2005
Last updated
04/19/2017
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