Individual
INSU JUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 GRAND AVE APT A9, ENGLEWOOD, NJ 07631-6564
(551) 655-9678
Mailing address
166 GRAND AVE APT A9, ENGLEWOOD, NJ 07631-6564
(551) 655-9678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
605348
NY
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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