Provider Demographics
NPI:1235235995
Name:SOLIS, MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER UNIVERISTY RADIOLOGY
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMD-00722092085R0202X
DEC1-00042132085R0202X
PAMD-048134-L2085R0202X
NJMA599222085R0202X
NJ25MA059922002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0005906OtherCIGNA
NJP00097876OtherRR MEDICARE
NJ26429OtherUNIVERISTY HEALTH PLAN
NJ6022103Medicaid
NJ01000574000OtherAMERICHOICE
NJ60002863OtherHORIZON NJ HEALTH
NJ1547119OtherUNITED HEALTHCARE
NJ513222OtherAMERIHEALTH PPO/PA BS
NJ513222OtherPA BS HIGHMARK
NJP3737805OtherOXFORD
NJ0686319000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3391405OtherAETNA
NJ26429OtherUNIVERISTY HEALTH PLAN
NJ6022103Medicaid