Provider Demographics
NPI:1932344967
Name:SOPHOCLES, MARIA ELENI (MD, FACOG)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELENI
Last Name:SOPHOCLES
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:SOPHOCLES
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:800 BUNN DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1968
Mailing Address - Country:US
Mailing Address - Phone:609-430-1900
Mailing Address - Fax:609-430-1901
Practice Address - Street 1:800 BUNN DR
Practice Address - Street 2:SUITE 202
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1968
Practice Address - Country:US
Practice Address - Phone:609-430-1900
Practice Address - Fax:609-430-1901
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06739900207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology