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Individual

SURESH G. WABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3998 RED LION RD, EMERGENCY MEDICINE, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 612-4532
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD064913L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017158100006
PA
05
0017158100007
PA
05
0017158100008
PA
01
01715810-02
AMERICHOICE FT
PA
01
01715810-03
AMERICHOICE-FB
PA
01
01715810-04
AMERICHOICE-FF
PA
01
0229031000
KEYSTONE, IBC
PA
01
07645
HEALTH PARTNERS
PA
01
1090529
KEYSTONE MERCY
PA
01
179271
HIGHMARK BLUE SHIELD
PA
01
20035429
AMERIHEALTH MERCY
PA
01
2393702
CIGNA
PA
01
452729
AETNA CONTRACT
PA
01
930068037
RAILROAD MEDICARE
PA
Enumeration date
08/22/2006
Last updated
12/06/2010
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