Organization
SUNTERPRISE HEALTH LLC
Active
Other names
SKC Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNNY KYUNG CHUN DO (DIRECTOR)
(917) 558-0393
Entity
Organization
Contact information
Practice address
4 FOREST AVE STE 205, PARAMUS, NJ 07652-5214
(201) 879-0303
Mailing address
4 FOREST AVE STE 205, PARAMUS, NJ 07652-5214
(917) 558-0393
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB09569900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982986634
—
NY
Enumeration date
08/08/2017
Last updated
08/13/2019
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