Individual
DR. ANGELO B SUTERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
280 N PROVIDENCE RD STE 103, MEDIA, PA 19063-3530
(610) 566-4563
(610) 566-1856
Mailing address
280 N PROVIDENCE RD STE 103, MEDIA, PA 19063-3530
(610) 566-4563
(610) 566-1856
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003658L
PA
213ES0131X
Foot Surgery Podiatrist
SC003658L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445475
—
PA
Enumeration date
09/29/2005
Last updated
02/17/2020
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