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Individual

DR. THOMAS D SUGALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
264 E BROAD ST, BETHLEHEM, PA 18018-6224
(610) 866-9311
(610) 882-2072
Mailing address
3106 MARGATE RD, BETHLEHEM, PA 18020-7507

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008871L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0191320
CAPITAL BLUE CROSS
PA
01
0325337000
INDEPENDENCE BLUE CROSS
PA
01
544301
HIGHMARK
PA
01
7076330
AENTA
PA
Enumeration date
10/03/2005
Last updated
03/28/2008
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