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1346229044
SIMON YONGQUAN SU
PHILADELPHIA, PA
NPI
1346229044
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Former Name
YONGQUAN SU
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD065401Y)
Enumeration Date
2006-01-11
Last Update Date
2011-04-19
Business Address
-- SIMON YONGQUAN SU MD
109 N 9TH ST
PHILADELPHIA, PA 19107-2410
Phone number: 215-923-2810
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Mailing Address
-- SIMON YONGQUAN SU MD
109 N 9TH ST
PHILADELPHIA, PA 19107-2410
Phone number: 215-923-2810
Copy
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COORDINATED HEALTH OF PENN, LLC