Individual
DR. SUNIL MUTHUSAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
(717) 544-5333
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD446098
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245845970001
—
PA
Enumeration date
03/23/2012
Last updated
11/30/2018
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