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NPI Code Detail

MEDICARE: GLORIA Y. SUN M.D.

MEDICARE: GLORIA Y. 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
1207R00000XInternal Medicine PhysicianMD10727RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RI10727OTHERRIBLUE CROSS LICENSE RI
20405647OTHERRIUNITEDHEALTHCARE
3408881OTHERRIBLUE CHIP HMORI OF RI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MD10727OTHERRISTATE LICENSE

General Provider Information

NPI Number : 1992745350
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA Y. SUN M.D.
Provider Business Mailing Address
First Line : 481 KINGSTOWN RD
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3626
Country : US
Telephone Number : 401-789-0283
Fax Number : 401-789-0314
Provider Business Practice Location Address
First Line : 481 KINGSTOWN RD
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3626
Country : US
Telephone Number : 401-789-0283
Fax Number : 401-789-0314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 06/15/2010

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Directions to “ GLORIA Y. SUN M.D.” Practice Location

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