Individual
SUNG SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 278-7022
Mailing address
1 HOSPITAL PLAZA, STAMFORD, CT 06902
(203) 278-7022
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5996
CT
Other
Enumeration date
04/04/2023
Last updated
06/26/2023
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