| Michael X Su Md Pc | |
|
489 Devon Park Dr Ste 306 Wayne PA 19087-1809 | |
| (610) 663-4109 | |
| Not Available |
| Full Name | Michael X Su Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 489 Devon Park Dr Ste 306, Wayne, Pennsylvania |
| Authorized Official Name and Position | Michael X Su (CEO) |
| Authorized Official Contact | 3189180525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael X Su Md Pc 466 Ridge Ln Springfield PA 19064-1119 Ph: (318) 918-0525 | Michael X Su Md Pc 489 Devon Park Dr Ste 306 Wayne PA 19087-1809 Ph: (610) 663-4109 |
| NPI Number | 1447055074 |
|---|---|
| Provider Enumeration Date | 02/18/2025 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447055074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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