Provider Demographics
NPI:1558307900
Name:SUN, KAREN HONG XUE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:HONG XUE
Last Name:SUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HONG
Other - Middle Name:
Other - Last Name:XUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:201 UNION AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3002
Mailing Address - Country:US
Mailing Address - Phone:908-595-6330
Mailing Address - Fax:908-595-6330
Practice Address - Street 1:201 UNION AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3002
Practice Address - Country:US
Practice Address - Phone:908-595-6330
Practice Address - Fax:908-595-6330
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA070631207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8636605Medicaid
NJ8636605Medicaid
H37245Medicare UPIN
NJ070317Medicare PIN