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Individual
BON SUK KU
Active
Individual
BON SUK KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD426380
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012687850002
—
PA
Enumeration date
05/26/2006
Last updated
03/26/2015
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