Individual
QIANG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 RATZER RD, WAYNE, NJ 07470
(973) 633-6688
(973) 633-1204
Mailing address
PO BOX 985, NEPTUNE, NJ 07754
(866) 553-9265
(732) 919-3595
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA07794000
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MA 77940
NJ
Other
Enumeration date
04/28/2006
Last updated
07/15/2008
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