Su, William T
Su, William T is an individual health care provider with primary practice located at 11110 Medical Campus Rd Suite 127, Hagerstown MD 21742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Su, William T can be contacted via phone (301) 714-4335.Contact Information
Primary practice address
11110 Medical Campus Rd Suite 127
Hagerstown MD 21742
Phone: (301) 714-4335
Fax: (301) 714-4332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0058267 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | D0058267 | Maryland |
Profile Details
| NPI number | 1730105743 |
|---|---|
| LBN Legal business name | Su, William T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 3rd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730105743 | NPPES |
| Maryland | MEDICAID | 404320100 |
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