Individual
RANDY SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 483-9000
Mailing address
1120 ROUTE 73 STE 300, MOUNT LAUREL, NJ 08054-5113
(856) 797-4772
(856) 861-1364
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS018409
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891137857
NPI
—
Enumeration date
07/19/2013
Last updated
03/19/2020
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