Individual
SU-ANN NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1255 S CEDAR CREST BLVD STE 2500, ALLENTOWN, PA 18103-6240
(610) 770-1606
Mailing address
1255 S CEDAR CREST BLVD STE 2500, ALLENTOWN, PA 18103-6240
(610) 770-1606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11247
ND
2085R0202X
Diagnostic Radiology Physician
A93830
CA
2085R0202X
Diagnostic Radiology Physician
MD445453
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A938300
BS
CA
05
—
00A938300
—
CA
01
—
CG1263
RAILROAD MEDICARE
CA
Enumeration date
06/16/2006
Last updated
02/24/2022
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