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Contact Information

SUN MIAO, MD
29 S NEW YORK RD
SUITE 700
GALLOWAY, NJ08205-9692
 Phone: 609-404-1823
 Fax: 609-404-1853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUN MIAO · (Male)

NPI Number 1750314803
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2006
Last updated 01/29/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA068603
  • NJ Medicaid 7954808
Hospital affiliation(s)
  • ATLANTICARE REGIONAL MEDICAL CENTER - CITY DIV - (Acute Care)
    1925 PACIFIC AVE
    ATLANTIC CITY, NJ 08401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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