Sutera, Angelo B

Sutera, Angelo B is an individual health care provider with primary practice located at 280 N Providence Rd Ste 103 , Media PA 19063-3530. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Sutera, Angelo B can be contacted via phone (610) 566-4563.

Contact Information

Primary practice address
280 N Providence Rd Ste 103 Media PA 19063-3530
Phone: (610) 566-4563
Fax: (610) 566-1856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC003658L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003658L Pennsylvania

Profile Details

NPI number 1295722874
LBN Legal business name Sutera, Angelo B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 17th, 2020 - about 6 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 1295722874 NPPES
Pennsylvania MEDICAID 1445475

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