Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD30995 | DC |
NPI | 1013161389 |
---|---|
Provider Name | Dr. Wellington Sun |
First Address | Kensington, MD 20895-4234 |
Second Address | Rockville, MD 20852-1428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2008 |
Last Update Date | 12/11/2008 |