Individual
SAMUEL S SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3400 SPRUCE ST, 11 RHOADS, PHILADELPHIA, PA 19104-4328
(215) 662-2700
Mailing address
3400 SPRUCE ST, 11 RHOADS, PHILADELPHIA, PA 19104-4328
(215) 662-2700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD470161
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT204114
PA
Other
Enumeration date
06/04/2013
Last updated
07/05/2022
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