Individual
SUAT ENG TER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6133
Mailing address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6133
(215) 335-1294
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD050283L
PA
Other
Enumeration date
08/19/2005
Last updated
05/12/2009
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