Individual
DR. CHUNG K SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91 EAST AVE, NORWALK, CT 06851-5020
(203) 855-9806
(203) 855-1135
Mailing address
91 EAST AVE, NORWALK, CT 06851-5020
(203) 855-9806
(203) 855-1135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
037720
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01377200CT03
BLUE CROSS
CT
01
—
037720
CONNECTICARE
CT
01
—
0V7050
HEALTHNET
CT
01
—
178311
WELLCARE
CT
01
—
2322912
AETNA
CT
01
—
3324246-004
CIGNA
CT
01
—
P2061278
OXFORD
CT
Enumeration date
01/04/2007
Last updated
07/08/2007
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