Individual
MARYELLEN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BETH ISRAEL DEACONESS MEDICAL CENTER, 330 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 754-2521
Mailing address
83 LEE ST, BROOKLINE, MA 02445-5912
(617) 487-5215
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
234487
MA
Other
Enumeration date
02/21/2008
Last updated
08/02/2011
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