Provider Demographics
NPI:1639777840
Name:MONSOF LLC
Entity Type:Organization
Organization Name:MONSOF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTEBLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-639-8015
Mailing Address - Street 1:8845 URBANA CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-2402
Mailing Address - Country:US
Mailing Address - Phone:301-639-8015
Mailing Address - Fax:
Practice Address - Street 1:8845 URBANA CHURCH RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-2402
Practice Address - Country:US
Practice Address - Phone:301-639-8015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LH0002XAllopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative MedicineGroup - Single Specialty