Individual
AUGUSTUS M SUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD, MICU, 3RD FLOOR, E TOWER, RM 3E46, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
214 STANTON RD, HAVERTOWN, PA 19083-2903
(267) 496-0900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0001044
DE
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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