Individual
ALEX SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 MILVIA ST, BERKELEY, CA 94704-2636
(510) 204-5600
Mailing address
2500 MILVIA ST, BERKELEY, CA 94704-2636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A185876
CA
Other
Enumeration date
03/27/2020
Last updated
10/18/2024
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