Individual
MRS. SUJATA C POISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055
(425) 656-5566
(425) 656-5567
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00031741
WA
2084N0400X
Neurology Physician
Primary
MD00031741
WA
Other
Enumeration date
12/22/2006
Last updated
10/04/2019
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