Individual
DR. JAE H SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
282 E RTE 4, PARAMUS, NJ 07652-5101
(551) 222-0800
(551) 222-0801
Mailing address
2 BENJAMIN RD, TENAFLY, NJ 07670-2618
(210) 607-0117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11302800
NJ
207Q00000X
Family Medicine Physician
55227-020
WI
Other
Enumeration date
12/29/2010
Last updated
12/05/2022
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