Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | D0001572 | MD |
NPI | 1013012376 |
---|---|
Provider Name | Dr. Sonia Estruch |
First Address | Baltimore, MD 21286-1564 |
Second Address | Perry Point, MD 21902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/07/2007 |