| Organization Name: | SUN MEDICAL CLINIC, PC |
| NPI Number: | 1053510180 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RALPH E SPADA (PRESIDENT) |
| Mailing Address: | 50 Memorial Dr Suite 110 Leominster |
| State: | MA US |
| Postal Code: | 014532238 |
| Phone Number: | 9788400055 |
| Fax Number: | 9788400063 |
| NPI Enumeration Date: | 07/18/2007 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 232981 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |