SOFIA MARIE MANDIA NPI 1316461767

NPI Information

NPI: 1316461767
Provider Name: SOFIA MARIE MANDIA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3400 SPRUCE ST
2 SILVERSTEIN
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3487
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Sofia Marie Mandia is a medical physician assistant in Philadelphia, PA. Sofia Marie Mandia NPI is 1316461767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 SPRUCE ST
2 SILVERSTEIN
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 662-3487
Fax: (215) 349-5534

The NPI 1316461767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2017 and was last updated on 8/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			No
2	363AM0700X	Physician Assistant	Medical	MA059126	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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