Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD442475 | PA |
Y | 208600000X | Surgeon | MD442475 | PA |
N | 208200000X | Surgeon | MT193414 | PA |
N | 208600000X | Surgeon | MT193414 | PA |
NPI | 1013179324 |
---|---|
Provider Name | Vivian Hsu |
First Address | Blue Bell, PA 19422-1812 |
Second Address | Blue Bell, PA 19422-1812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 09/06/2014 |