Organization
WILLIAM T. SU, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TSUEN-YUAN SU M.D, (PRESIDENT)
(301) 714-4330
Entity
Organization
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE #127, HAGERSTOWN, MD 21742-6700
(301) 714-4330
(301) 714-4332
Mailing address
11110 MEDICAL CAMPUS RD, SUITE #127, HAGERSTOWN, MD 21742-6700
(301) 714-4330
(301) 714-4332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0058267
MD
2086S0129X
Vascular Surgery Physician
Primary
D0058267
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4059
BCBS NCA
—
01
—
KEH9WI
BCBS MD
MD
Enumeration date
02/12/2007
Last updated
09/11/2025
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