Individual
JUDY SARUNGBAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210 STREET, DEPARTMENT OF PATHOLOGY, BRONX, NY 10467
(718) 920-4976
Mailing address
111 E 210 STREET, DEPARTMENT OF PATHOLOGY, BRONX, NY 10467
(718) 920-4976
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
273503
NY
Other
Enumeration date
01/08/2014
Last updated
05/21/2019
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