Basic Information
| Provider Information | |||||||||
| NPI: | 1114285129 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SUNG | ||||||||
| FirstName: | DIANA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 500 | ||||||||
| Address2: | |||||||||
| City: | HACKETTSTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 078400500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9089791010 | ||||||||
| FaxNumber: | 9089799934 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 MADISON AVENUE | ||||||||
| Address2: | DEPARTMENT OF PATHOLOGY | ||||||||
| City: | MORRISTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079606136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739715600 | ||||||||
| FaxNumber: | 9732907370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2012 | ||||||||
| LastUpdateDate: | 07/26/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 25MA10277600 | NJ | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.