Individual
DR. SANSANEE SUWARATANA CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
(215) 590-2180
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107-0010
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD464415
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035161300001
—
PA
Enumeration date
05/03/2011
Last updated
11/30/2018
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