Provider Demographics
NPI:1972804128
Name:JUNG, SUNG MUN (LAC)
Entity Type:Individual
Prefix:DR
First Name:SUNG MUN
Middle Name:
Last Name:JUNG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2501
Mailing Address - Country:US
Mailing Address - Phone:215-307-0038
Mailing Address - Fax:646-478-9778
Practice Address - Street 1:6 SYLVAN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632
Practice Address - Country:US
Practice Address - Phone:201-937-1551
Practice Address - Fax:646-478-9778
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00056500171100000X
NY003305171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist