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Individual

SUSAN SOTARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD, DEPARTMENT OF RADIOLOGY, PHILADELPHIA, PA 19104
(215) 590-1959
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF RADIOLOGY, PHILADELPHIA, PA 19104
(215) 590-1959

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
265233
MA
2085R0202X
Diagnostic Radiology Physician
MD463185
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MT214851
PA

Other

Enumeration date
03/22/2011
Last updated
06/15/2018
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