PETER SU

Dr PETER SU is a male medical professional, specializing in Family Medicine. He graduated in 1991 from University Of Maryland School Of Medicine.

Contact

1438 DEFENSE HWY 201
GAMBRILLS
MD
210542021

Tel: 4107213200

PETER SU Information

Npi 1184664146
Pac Id 3577691443
Professional Enrollment Id I20100513000631
Last Name SU
First Name PETER
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1438 DEFENSE HWY 201
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GAMBRILLS
State MD
Zip Code 210542021
Phone Number 4107213200
Hospital Affiliation Ccn 1 210043
Hospital Affiliation Lbn 1 UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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