Individual
SOFIA M SURIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8870 BELAIR RD, NOTTINGHAM, MD 21236-2401
(410) 248-3124
(410) 248-3125
Mailing address
308 E TIMONIUM RD, TIMONIUM, MD 21093-2836
(410) 248-3124
(410) 246-3125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DOO20567
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0J0MSM
BCBS
MD
05
—
185191800
—
MD
01
—
9010-0001
CAREFIRST BLUECHOICE
MD
Enumeration date
05/08/2006
Last updated
07/21/2022
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