Individual
STEFANI SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7906 ANDRUS RD STE 7, ALEXANDRIA, VA 22306-3169
(703) 360-8881
Mailing address
7906 ANDRUS RD STE 7, ALEXANDRIA, VA 22306-3169
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101272316
VA
207KA0200X
Allergy Physician
Primary
0101272316
VA
207KA0200X
Allergy Physician
D0091572
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
07/14/2021
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