Individual
MR. DONGWUK SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 KINDERKAMACK RD., RIVER EDGE, NJ 07661
(201) 567-0633
(201) 567-0633
Mailing address
P.O. BOX 247, RIVER EDGE, NJ 07661
(201) 567-0633
(201) 567-0633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02974800
NJ
207RP1001X
Pulmonary Disease Physician
25MA02974800
NJ
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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