Individual
DR. JOHN Y SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3363 KENNEDY BOULEVARD, JERSEY CITY, NJ 07307
(201) 659-3003
(201) 659-3594
Mailing address
3363 KENNEDY BOULEVARD, JERSEY CITY, NJ 07307
(201) 659-3003
(201) 659-3594
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA25304
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853302
—
NJ
Enumeration date
11/29/2006
Last updated
07/08/2007
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