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Individual

JIDONG SUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1542 KUSER RD STE B3, HAMILTON, NJ 08619-3829
(732) 888-3300
(732) 888-3116
Mailing address
1542 KUSER RD STE B3, HAMILTON, NJ 08619-3829
(732) 888-3300
(732) 888-3116

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA70679
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073539
NJ
Enumeration date
06/05/2006
Last updated
12/04/2018
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