Individual
JUNG SAN SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 S BROAD ST, ELIZABETH, NJ 07202-3453
(908) 352-5927
(908) 352-6181
Mailing address
219 S BROAD ST, ELIZABETH, NJ 07202-3453
(908) 352-5927
(908) 352-6181
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA02834800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112701
—
NJ
Enumeration date
09/25/2006
Last updated
07/08/2007
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