Individual
DR. TADAHISA SUGIURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2958
Mailing address
1575 BLONDELL AVE STE 125, BRONX, NY 10461-2660
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
294777
NY
Other
Enumeration date
03/21/2018
Last updated
08/06/2019
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