Individual
EDWIN A SUDDLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 WILSHIRE BLVD, EAST TOWER PENTHOUSE, BEVERLY HILLS, CA 90212-3401
(310) 288-9999
Mailing address
9734 LOCKFORD ST, LOS ANGELES, CA 90035-2923
(310) 288-9999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
203877
MA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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