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Organization
YONG SHI, MD LLC
Active
Organization
YONG SHI, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONG SHI MD (PHYSICIAN)
(732) 775-6664
Entity
Organization
Contact information
Practice address
1820 CORLIES AVE, SUITE 7, NEPTUNE, NJ 07753-4860
(732) 775-6664
(732) 775-6680
Mailing address
1820 CORLIES AVE, SUITE 7, NEPTUNE, NJ 07753-4860
(732) 775-6664
(732) 775-6680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06999900
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA06999900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066117
—
NJ
Enumeration date
02/26/2014
Last updated
02/26/2014
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