Provider Demographics
NPI:1134153455
Name:SUNG AND WARD INC
Entity type:Organization
Organization Name:SUNG AND WARD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:H
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-537-9208
Mailing Address - Street 1:10 LIBERTY LN
Mailing Address - Street 2:PO BOX 737
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-2772
Mailing Address - Country:US
Mailing Address - Phone:724-537-9208
Mailing Address - Fax:724-537-0867
Practice Address - Street 1:10 LIBERTY LN
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-2772
Practice Address - Country:US
Practice Address - Phone:724-537-9208
Practice Address - Fax:724-537-0867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
546421Medicare PIN
PA546421Medicare ID - Type Unspecified