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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