Individual
EDWARD I. SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5090
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01068257A
IN
207L00000X
Anesthesiology Physician
13615
RI
207L00000X
Anesthesiology Physician
Primary
MD13615
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2007
Last updated
10/02/2013
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