Individual
CAROLINE SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9980
(973) 267-7295
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
25MP00624100
NJ
Other
Enumeration date
02/25/2021
Last updated
04/08/2024
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