Individual
DR. BETTY SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3510 OLD WASHINGTON RD, SUITE #100, WALDORF, MD 20602-3233
(301) 609-5200
(301) 609-5220
Mailing address
3510 OLD WASHINGTON RD, SUITE #100, WALDORF, MD 20602-3233
(301) 609-5200
(301) 609-5220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062287
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0062287
LICENSE
MD
Enumeration date
10/05/2006
Last updated
07/08/2007
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