Individual
SOPHIA GIAVOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7000
Mailing address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009766
MD
363AS0400X
Surgical Physician Assistant
C0009766
MD
Other
Enumeration date
11/23/2024
Last updated
12/31/2024
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