Individual
SOO SUNG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE STREET, PHILADELPHIA, PA 19107
(215) 829-6079
(215) 829-7482
Mailing address
800 SPRUCE STREET, PHILADELPHIA, PA 19107
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD020666E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009609930015
—
PA
Enumeration date
06/27/2006
Last updated
02/22/2011
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