Individual
DAVID NATHAN SUWONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2222
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
67625
CT
207P00000X
Emergency Medicine Physician
Primary
D0099757
MD
Other
Enumeration date
04/28/2017
Last updated
06/24/2024
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