Organization
JOHN M. SUNDHEIM,MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARTIN SUNDHEIM MD (PRESIDENT)
(732) 350-2700
Entity
Organization
Contact information
Practice address
108 LACEY RD, SUITE 36, WHITING, NJ 08759-1337
(732) 350-2700
Mailing address
108 LACEY RD, SUITE 36, WHITING, NJ 08759-1337
(732) 350-2700
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA35415
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8680400
—
NJ
Enumeration date
01/05/2007
Last updated
08/22/2020
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