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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730105743 NPPES
Maryland MEDICAID 404320100

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