Individual
HARRY SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5252
Mailing address
3550 GRANDVIEW PKWY APT 634, BIRMINGHAM, AL 35243-1904
(205) 968-9160
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26729
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932888
—
AL
05
—
009932889
—
AL
01
—
02476586
MISSISSIPPI MEDICAID
MS
01
—
051530376
BLUE CROSS
AL
01
—
051530378
BLUE CROSS
AL
Enumeration date
07/20/2006
Last updated
07/08/2007
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