MEDICARE: BOB ZHE SUN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0214X	Pediatric Pulmonology Physician	291944	MA

General Provider Information

NPI Number	:	1851851414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOB ZHE SUN

Provider Business Mailing Address
First Line	:	300 LONGWOOD AVE
Second Line	:	BCH 3121
City	:	BOSTON
State	:	MA
Zip	:	02115
Country	:	US
Telephone Number	:	617-355-1900
Fax Number	:	617-730-0774

Provider Business Practice Location Address
First Line	:	300 LONGWOOD AVE
Second Line	:	BCH 3121
City	:	BOSTON
State	:	MA
Zip	:	02115
Country	:	US
Telephone Number	:	617-355-1900
Fax Number	:	617-730-0774

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	07/24/2022

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Directions to “ BOB ZHE SUN ” Practice Location

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