Provider Demographics
NPI:1780728170
Name:BAKER, SONIA E (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:E
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:E
Other - Last Name:BLOME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7505 OSLER DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7736
Mailing Address - Country:US
Mailing Address - Phone:410-427-2580
Mailing Address - Fax:410-427-2581
Practice Address - Street 1:7505 OSLER DR
Practice Address - Street 2:SUITE 103
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7736
Practice Address - Country:US
Practice Address - Phone:410-427-2580
Practice Address - Fax:410-427-2581
Is Sole Proprietor?:No
Enumeration Date:2007-02-18
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD66139207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease