Provider Demographics
NPI:1497723647
Name:PAI, SUNG YUN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNG YUN
Middle Name:
Last Name:PAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44 BINNEY STREET
Mailing Address - Street 2:DANA 3 MAIL ROOM
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-3956
Mailing Address - Fax:617-632-1990
Practice Address - Street 1:44 BINNEY STREET
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-3956
Practice Address - Fax:617-632-1990
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1536552080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000026069OtherBMC HEALTHNET
153655OtherTUFTS
MA3176975Medicaid
34268OtherFALLON COMMUNITY HEALTH
2938210OtherAETNA US HEALTHCARE
7964743OtherCIGNA
MAJ17731OtherBCBS INDEMNITY ELECT HMO
9385OtherHPHC DFCI ONLY
153655OtherTUFTS
MAJ17731OtherBCBS INDEMNITY ELECT HMO