Provider Demographics
NPI:1316164932
Name:OSEI, SUZETTE Y (MD)
Entity type:Individual
Prefix:DR
First Name:SUZETTE
Middle Name:Y
Last Name:OSEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 S QUIVAS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-2634
Mailing Address - Country:US
Mailing Address - Phone:610-223-0892
Mailing Address - Fax:719-256-4096
Practice Address - Street 1:1250 S COLLEGEVILLE RD
Practice Address - Street 2:GLAXOSMITH KLINE PHARMACEUTICAL
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2990
Practice Address - Country:US
Practice Address - Phone:610-917-6880
Practice Address - Fax:610-917-4177
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068130L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism