Provider Demographics
NPI:1124356530
Name:SUN TAO STUDIO L.L.C.
Entity Type:Organization
Organization Name:SUN TAO STUDIO L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-406-7088
Mailing Address - Street 1:1510 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4079
Mailing Address - Country:US
Mailing Address - Phone:973-406-7088
Mailing Address - Fax:973-767-1290
Practice Address - Street 1:1510 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-4079
Practice Address - Country:US
Practice Address - Phone:973-406-7088
Practice Address - Fax:973-767-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26BT00191300261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty