Provider Demographics
NPI:1053774398
Name:CANO SOKOLOFF, NATALIA (MD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:CANO SOKOLOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 CIVIC CENTER BLVD
Mailing Address - Street 2:PEDIATRIC ADVANCED CARE TEAM
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-1329
Mailing Address - Country:US
Mailing Address - Phone:857-317-0532
Mailing Address - Fax:718-334-2862
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:PEDIATRIC ADVANCED CARE TEAM
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-1329
Practice Address - Country:US
Practice Address - Phone:857-317-0532
Practice Address - Fax:718-334-2862
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMT2199432080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program