William T. Su, M.D., P.A.
LBN: William T. Su, M.D., P.A.
William T. Su, M.D., P.A. is an health care organization with primary practice located at 11110 Medical Campus Rd Suite #127, Hagerstown MD 21742-6700. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
William T. Su, M.D., P.A. can be contacted via phone (301) 714-4330, or through Su, William Tsuen-Yuan via phone (301) 714-4330.
Contact Information
Primary practice address
11110 Medical Campus Rd Suite #127
Hagerstown MD 21742-6700
Phone: (301) 714-4330
Fax: (301) 714-4332
Website:
Authorized official contact:
Name: Su, William Tsuen-Yuan Doctor of Medicine (MD)
Phone: (301) 714-4330
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 | 1790827483 |
|---|---|
| LBN Legal business name | William T. Su, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Su, William Tsuen-Yuan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790827483 | NPPES |
| Maryland | Other | KEH9WI | BCBS MD |
| Maryland | Other | 4059 | BCBS MD |
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