Provider Demographics
NPI:1992834865
Name:TOY, SUE FUSUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:FUSUN
Last Name:TOY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 MAIN AVENUE
Mailing Address - Street 2:SUITE 1 E
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011
Mailing Address - Country:US
Mailing Address - Phone:973-478-2221
Mailing Address - Fax:973-478-5330
Practice Address - Street 1:1187 MAIN AVE
Practice Address - Street 2:SUITE 1 E
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2252
Practice Address - Country:US
Practice Address - Phone:973-478-2221
Practice Address - Fax:973-478-5330
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022028001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice