Individual
SUSAN K UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5030 STATE RD, #2-900, DREXEL HILL, PA 19026-4605
(610) 623-9080
(610) 623-3861
Mailing address
5030 STATE RD, DREXEL HILL, PA 19026-4605
(610) 623-9080
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS014153
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003081
FIRST PRIORITY HEALTH
PA
05
—
1020095540001
—
PA
01
—
50072147
KEYSTONE CAPITAL BC
PA
01
—
86121
GEISINGER HEALTH PLAN
PA
01
—
9899059
AETNA
—
01
—
UY001979354
HIGHMARK BS
PA
Enumeration date
07/30/2007
Last updated
08/11/2011
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