Sun, Samuel

Sun, Samuel is an individual health care provider with primary practice located at 769 Northfield Ave , West Orange NJ 07052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sun, Samuel can be contacted via phone (848) 308-4609.

Contact Information

Primary practice address
769 Northfield Ave West Orange NJ 07052
Phone: (848) 308-4609
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MT210755 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA10538200 New Jersey

Profile Details

NPI number 1639520745
LBN Legal business name Sun, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Oct 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639520745 NPPES
New Jersey Other 25MA10538200 NEW JERSEY MEDICAL LICENSE

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