Individual
DR. JOHN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
260 TOWNSHIP BLVD, STE 20, CAMILLUS, NY 13031-1674
(315) 708-0091
(315) 708-0194
Mailing address
260 TOWNSHIP BLVD, STE 20, CAMILLUS, NY 13031-1674
(315) 708-0190
(315) 488-3284
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
235028
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02654608
—
NY
Enumeration date
07/28/2006
Last updated
06/17/2016
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