Individual
DR. KYUN SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
130 MAPLE AVE STE 5C, RED BANK, NJ 07701-1729
(732) 747-0513
Mailing address
130 MAPLE AVE. STE 5-C, RED BANK, NJ 07701-1729
(732) 747-0513
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA02687900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1391902
—
NJ
Enumeration date
10/10/2005
Last updated
01/04/2011
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