De, Sulagna

De, Sulagna is an individual health care provider with primary practice located at Route 611 Stroud Bldg Suite 100B , Stroudsburg PA 18360-9317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. De, Sulagna can be contacted via phone (570) 420-5435.

Contact Information

Primary practice address
Route 611 Stroud Bldg Suite 100B Stroudsburg PA 18360-9317
Fax: (570) 420-5437
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD066364L Pennsylvania

Profile Details

NPI number 1568515161
LBN Legal business name De, Sulagna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568515161 NPPES
Pennsylvania MEDICAID 0017538940005

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