Provider Demographics
NPI:1740748219
Name:SOKOLOFF MANAGEMENT, LLC
Entity type:Organization
Organization Name:SOKOLOFF MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:302-509-1679
Mailing Address - Street 1:735 LETITIA DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9227
Mailing Address - Country:US
Mailing Address - Phone:302-509-1679
Mailing Address - Fax:410-942-9509
Practice Address - Street 1:1001 CEDAR CORNER RD STE B
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MD
Practice Address - Zip Code:21903-2306
Practice Address - Country:US
Practice Address - Phone:410-942-9552
Practice Address - Fax:410-942-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD900272OtherBEACON HEALTH