Individual
STACEY SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 COTTMAN AVENUE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111
(215) 728-6900
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-6900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
213675
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD435046
PA
Other
Enumeration date
04/22/2007
Last updated
04/17/2018
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