MEDICARE: DR. WILLIAM Z SUN M.D.

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	207W00000X	Ophthalmology Physician	MD-020214-E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	155826	OTHER	PA	AARP
2	2353	OTHER	PA	AETNA
3	0053211000	OTHER	PA	KEYSTONE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	155826	OTHER	PA	BLUE SHIELD
6	32044	OTHER	PA	HEALTH/SENIOR PARTNERS

General Provider Information

NPI Number	:	1043247943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM Z SUN M.D.

Provider Business Mailing Address
First Line	:	2031 LOCUST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-5611
Country	:	US
Telephone Number	:	215-564-4277
Fax Number	:	215-563-9721

Provider Business Practice Location Address
First Line	:	2031 LOCUST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-5611
Country	:	US
Telephone Number	:	215-564-4277
Fax Number	:	215-563-9721

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	03/24/2008

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Directions to “ DR. WILLIAM Z SUN M.D.” Practice Location

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