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General NPI Number Information
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NPI Number | 1770887119
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Entity Type | Organization
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Legal Business Name | JIMMY C. SUNG, MD, PLLC
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 65 BROADWAY SUITE 1701
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City | NEW YORK
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State | NY
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Zip | 10006-2503
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Country | US
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Telephone | 212-452-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 FOOTHILL WAY
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2043
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Country | US
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Telephone | 646-484-0378
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JIMMY C SUNG
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Credential | MD
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Telephone | 212-452-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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