Individual
DR. NEIL MICHAEL SANUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LEHIGH AVE, MAB BLDG, SUITE 105, PHILADELPHIA, PA 19125-1012
(215) 707-8496
(215) 707-4086
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8496
(215) 707-4086
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT188080
PA
Other
Enumeration date
07/11/2008
Last updated
03/21/2017
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