Provider Demographics
NPI:1013161389
Name:SUN, WELLINGTON (MD)
Entity type:Individual
Prefix:DR
First Name:WELLINGTON
Middle Name:
Last Name:SUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4400 WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-4234
Mailing Address - Country:US
Mailing Address - Phone:301-530-7872
Mailing Address - Fax:
Practice Address - Street 1:1401 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 300N
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1428
Practice Address - Country:US
Practice Address - Phone:301-827-3070
Practice Address - Fax:301-827-3532
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30995207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease