Individual
DR. BORAM SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 257-4330
(732) 257-5986
Mailing address
33 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 257-4330
(732) 257-5986
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA08557700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222130958
TAX ID
NJ
Enumeration date
04/24/2009
Last updated
04/24/2009
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