Individual
SHUSAKU MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4870
(215) 955-6000
Mailing address
1025 WALNUT ST STE 607, PHILADELPHIA, PA 19107-5001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
LT001061
PA
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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