Organization
SUNTERPRISE HEALTH LLC
Active
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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