Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA10404800 | NJ |
N | 207X00000X | Orthopaedic Surgeon | C1-0012795 | DE |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | C1-0012795 | DE |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MT209733 | PA |
NPI | 1205218211 |
---|---|
Provider Name | Dr. Alvin Weii Su |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2015 |
Last Update Date | 11/06/2021 |