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Individual

GLORIA Y. SUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314
Mailing address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10727
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0405647
UNITEDHEALTHCARE
RI
01
408881
BLUE CHIP HMORI OF RI
RI
05
7009265
RI
01
MD10727
STATE LICENSE
RI
01
RI10727
BLUE CROSS LICENSE RI
RI
Enumeration date
06/07/2006
Last updated
06/15/2010
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