ISAAC E SU

PHILADELPHIA, PA
NPI1023634342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MD484167)
Additional Taxonomies207Q00000X Family Medicine
(Licence: GA  11686)
208D00000X General Practice
(Licence: CA  92495)
Enumeration Date2020-06-23
Last Update Date2024-06-27
Business Address
ISAAC E SU MD
7600 CENTRAL AVE
PHILADELPHIA, PA 19111-2442
Phone number: 215-728-2275
Mailing Address
ISAAC E SU MD
3500 N BROAD ST RM 1A
PHILADELPHIA, PA 19140-4106
Phone number: 215-926-9019