Individual
GRACE HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-6049
(215) 590-1415
Mailing address
100 E PENN SQ, THE WANAMAKER BLDG., 9TH FL., N, PHILADELPHIA, PA 19107-3323
(267) 425-9320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD450307
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD450307
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029494320001
—
PA
Enumeration date
06/12/2009
Last updated
12/11/2017
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