Provider Demographics
NPI:1376521245
Name:SOKOLOW, MARC DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:DENNIS
Last Name:SOKOLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 SISTER PIERRE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7516
Mailing Address - Country:US
Mailing Address - Phone:410-825-6500
Mailing Address - Fax:410-825-6004
Practice Address - Street 1:120 SISTER PIERRE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7516
Practice Address - Country:US
Practice Address - Phone:410-825-6500
Practice Address - Fax:410-825-6004
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0026534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD74740Medicare UPIN
MD7892Medicare ID - Type Unspecified