Individual
DR. JONGDAE SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3827 PAXTON AVE., 838, CINCINNATI, OH 45209
(714) 676-4887
Mailing address
3827 PAXTON AVE., 838, CINCINNATI, OH 45209
(714) 676-4887
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
A103753
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2007
Last updated
07/17/2011
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