Individual
DR. JAN J SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 EAST 88TH STREET, SUITE 1A, NEW YORK, NY 10128
(212) 535-5020
Mailing address
4 E 88TH ST, SUITE 1A, NEW YORK, NY 10128-0509
(212) 535-5020
(212) 535-6494
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
191275
NY
207RG0100X
Gastroenterology Physician
Primary
25MA06650200
NJ
Other
Enumeration date
12/13/2005
Last updated
04/24/2017
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