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Individual

DR. EPIFANIO I SUNGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1278 HOOPER AVE, TOMS RIVER, NJ 08753-3324
(732) 505-0533
(732) 505-6572
Mailing address
275 ROUTE 22 EAST, SPRINGFIELD, NJ 07081
(973) 376-8900
(973) 912-9846

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00604000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27OA00604000
LICENSE
NJ
01
27TO00141900
TPA
NJ
Enumeration date
08/10/2006
Last updated
11/15/2007
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