Individual
DAVID SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2175 LEMOINE AVE FL 6, FORT LEE, NJ 07024-6008
(866) 722-3338
Mailing address
2175 LEMOINE AVE FL 6, FORT LEE, NJ 07024-6008
(201) 886-9000
(718) 961-0666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2021
Last updated
01/26/2022
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