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General NPI Number Information
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NPI Number | 1154365450
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Entity Type | Individual
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Provider Name | GERALD D. SUH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 09/30/2018
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Provider Practice Location Address
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Address Line | 10 FORRESTAL RD S STE 206
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City | PRINCETON
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State | NJ
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Zip | 08540-6666
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Country | US
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Telephone | 609-921-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 3327 IDAHO AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20016-3737
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Country | US
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Telephone | 914-262-3798
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 203002-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 203002
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 25MA08694400
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License Number State | NJ
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