Organization
MICHAEL X SU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL X SU MD, MA (CEO)
(318) 918-0525
Entity
Organization
Contact information
Practice address
489 DEVON PARK DR STE 306, WAYNE, PA 19087-1809
(610) 663-4109
Mailing address
466 RIDGE LN, SPRINGFIELD, PA 19064-1119
(318) 918-0525
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/18/2025
Last updated
05/14/2025
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