Individual
SONYO SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 ROUTE 22 STE 270, BRIDGEWATER, NJ 08807-2939
(908) 947-7017
(908) 947-7018
Mailing address
1125 ROUTE 22 STE 270, BRIDGEWATER, NJ 08807-2939
(908) 947-7017
(908) 947-7018
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD438123
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024112130001
—
PA
01
—
3749708000
INDEPENDENCE BLUE CROSS
PA
01
—
50089273
CAPITAL BLUE CROSS
PA
Enumeration date
10/17/2007
Last updated
09/20/2024
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