Provider Demographics
NPI:1780249748
Name:JULIA SOLOMON, MD
Entity type:Organization
Organization Name:JULIA SOLOMON, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CIAFONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-885-8880
Mailing Address - Street 1:5110 E BERYL AVE
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1023
Mailing Address - Country:US
Mailing Address - Phone:602-885-8880
Mailing Address - Fax:
Practice Address - Street 1:1725 WEST FRYE ROAD
Practice Address - Street 2:SUITE 120
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:602-885-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1891763504OtherPHYSICIAN NPI