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Organization

ALBERT S.C. SUN, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT SHAN-CHING SUN M.D. (SOLE PROPIETOR)
(410) 877-1733
Entity
Organization

Contact information

Practice address
1716 HARFORD RD, SUITE 105, FALLSTON, MD 21047-2643
(410) 877-1733
(410) 877-1733
Mailing address
1716 HARFORD RD, SUITE 105, FALLSTON, MD 21047-2643
(410) 877-1733
(410) 877-1733

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0018779
MD
207RP1001X
Pulmonary Disease Physician
D0018779
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029023
JOHNS HOPKINS HEALTHCARE
01
0400703
UNITED HEALTHCARE
01
088380000
BLUE CROSS BLUE SHIELD PHN
01
1158241
CIGNA
05
250751000
MD
01
2796
BRAVO HEALTH
01
2922
COVENTRY HEALTHCARE
01
3725
MEDSTAR FAMILLY CHOICE
01
406291389
MEDICARE RAILROAD
01
41527
COVENTRY DIAMOND PLAN
01
455516
AETNA US HEALTHCARE
01
8401AS
CAREFIRST BCBS
01
843756
MAMSI PLAN
01
9000437
PRUDENTIAL
01
98453-01
AMERIGROUP MARYLAND
01
98453-02
AMERIGROUP MARYLAND
01
T769 0001
BLUE CHOICE CAREFIRST
Enumeration date
05/20/2009
Last updated
08/27/2012
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