Individual
SU MAE ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 WALNUT ST STE 1230, PHILADELPHIA, PA 19107-5109
(215) 928-3041
(215) 928-3225
Mailing address
840 WALNUT ST STE 1230, PHILADELPHIA, PA 19107-5109
(215) 440-3160
(215) 928-3465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD480660
PA
Other
Enumeration date
06/14/2019
Last updated
07/05/2023
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