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Individual

DR. JAMES YU-JEN SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
601 W 181ST ST, SUITE 24, NEW YORK, NY 10033-4914
(212) 928-4800
(212) 928-3436
Mailing address
601 W 181ST ST, SUITE 24, NEW YORK, NY 10033-4914
(212) 928-4800
(212) 928-3436

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
041389
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01078528
NY
Enumeration date
10/19/2005
Last updated
08/19/2015
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