Jennifer Jin-kyung Suh, MD | |
483 E County Line Rd, Hatboro, PA 19040 | |
(215) 441-5670 | |
(215) 441-5661 |
Full Name | Jennifer Jin-kyung Suh |
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Gender | Female |
Speciality | Pediatrics |
Location | 483 E County Line Rd, Hatboro, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558356477 | NPI | - | NPPES |
01011767630001 | Medicaid | PA | |
MD424483 | Other | PA | STATE LICENSE NUMBER |
036-122267 | Other | IL | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036122267 (Illinois) | Secondary |
208000000X | Pediatrics | MD424483 (Pennsylvania) | Primary |
Entity Name | The Philip Jaisohn Memorial Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366498479 PECOS PAC ID: 8729061742 Enrollment ID: O20040610001240 |
Mailing Address | Practice Location Address |
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Jennifer Jin-kyung Suh, MD 483 E County Line Rd, Hatboro, PA 19040-1204 Ph: (215) 441-5670 | Jennifer Jin-kyung Suh, MD 483 E County Line Rd, Hatboro, PA 19040 Ph: (215) 441-5670 |
Dr. Melissa Mondello, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 483 E County Line Rd, Hatboro, PA 19040 Phone: 215-441-5670 Fax: 215-441-5661 | |
Dr. Dena Cheryl Sloane, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 483 E. County Line Rd, Hatboro, PA 19040 Phone: 215-441-5670 Fax: 215-441-5661 | |
Andrea Catalano Amoia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 483 E County Line Rd, Hatboro, PA 19040 Phone: 215-441-5670 Fax: 215-441-5661 | |
Jennifer B Coren, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 483 E County Line Rd, Hatboro, PA 19040 Phone: 215-441-5670 Fax: 215-441-5661 |