Individual
SAMUEL SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
769 NORTHFIELD AVE, WEST ORANGE, NJ 07052
(848) 308-4609
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10538200
NJ
207P00000X
Emergency Medicine Physician
MT210755
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10538200
NEW JERSEY MEDICAL LICENSE
NJ
Enumeration date
06/29/2016
Last updated
10/31/2024
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