Organization
DR BO SHIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BO KYONG SHIN DPM (PHYSICIAN)
(404) 825-8099
Entity
Organization
Contact information
Practice address
7 BROAD AVE STE 203, PALISADES PARK, NJ 07650-1886
(201) 705-7885
(888) 866-7055
Mailing address
3113 CREST LN, FORT LEE, NJ 07024-2229
(201) 705-7885
(888) 866-7055
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00308100
NJ
Other
Enumeration date
09/30/2014
Last updated
05/07/2018
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