Individual
TONG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 CEDAR ST, NEW HAVEN, CT 06510-3218
(203) 785-3624
Mailing address
934 DANIELS FARM RD # A, TRUMBULL, CT 06611-2615
(617) 820-6693
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
264359
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
66454
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972999548
—
CT
Enumeration date
04/10/2015
Last updated
07/13/2020
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