Individual
DR. EUGENE SUWANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4539
Mailing address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 609-4539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D74404
MD
208000000X
Pediatrics Physician
ME98752
FL
Other
Enumeration date
07/20/2007
Last updated
12/20/2015
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