MEDICARE: SOKOLOFF MANAGEMENT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900272	OTHER	MD	BEACON HEALTH

General Provider Information

NPI Number	:	1740748219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOKOLOFF MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	735 LETITIA DR
Second Line	:
City	:	HOCKESSIN
State	:	DE
Zip	:	19707-9227
Country	:	US
Telephone Number	:	302-509-1679
Fax Number	:	410-942-9509

Provider Business Practice Location Address
First Line	:	1001 CEDAR CORNER RD STE B
Second Line	:
City	:	PERRYVILLE
State	:	MD
Zip	:	21903-2306
Country	:	US
Telephone Number	:	410-942-9552
Fax Number	:	410-942-9509

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KEITH SOKOLOFF
Credential	:	DO
Telephone Number	:	302-509-1679

Provider Enumeration Date	:	03/04/2019
Last Update Date	:	06/25/2024

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