Individual provider · Type 1 NPI
Albert Tom Su, MD
Diagnostic Radiology Physician · Edison, NJ
NPI number
1639154479
Active
Practice location
175 Mundy Ave
Edison, NJ 08820-3716
Fax (612) 294-4903
Mailing address
11995 Singletree Ln, Suite 500
Eden Prairie, MN 55344-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5671 (AK) |
| Diagnostic Radiology Physician | 2085R0202X | 228545 (NY) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 25MA07319800 (NJ) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1639154479
Albert Tom Su, MD's National Provider Identifier is 1639154479, issued on Dec 14, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Edison, NJ. The record was last updated on Aug 7, 2012.