Individual
DR. SUSAN PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1125 ROUTE 22 STE 170, BRIDGEWATER, NJ 08807-2939
(732) 667-1123
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08586200
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08586200
NJ
Other
Enumeration date
06/12/2010
Last updated
04/23/2021
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