Healthcare Provider Details

I. General information

NPI: 1780174029
Provider Name (Legal Business Name): SUNNY KUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PRIMROSE ST STE 100
HAVERHILL MA
01830-2659
US

IV. Provider business mailing address

600 PRIMROSE ST STE 100
HAVERHILL MA
01830-2659
US

V. Phone/Fax

Practice location:
  • Phone: 978-469-5536
  • Fax: 978-557-8866
Mailing address:
  • Phone: 978-469-5536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number286925
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number286925
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: