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Individual
EUNGSOO SHIN
Active
Individual
EUNGSOO SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034310
NY
225100000X
Physical Therapist
Primary
070021859
IL
225100000X
Physical Therapist
10356
CT
225100000X
Physical Therapist
4575
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W232221175
AETNA
FL
Enumeration date
01/12/2017
Last updated
01/12/2017
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