Individual
TIFFANY SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A168364
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
287382
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/02/2015
Last updated
03/01/2024
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