Individual
DR. SSU ISABEL WENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 TRAIL CROSS CT, SANTA FE, NM 87505-4511
(505) 983-3168
Mailing address
905 TRAIL CROSS CT, SANTA FE, NM 87505-4511
(505) 983-3168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
78-286
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78-286
NEW MEXICO BOARD OF MEDICAL EXAMINERS
NM
Enumeration date
07/16/2008
Last updated
07/16/2008
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