Individual
DAVID SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 ESSEX ST, SUITE 403, HACKENSACK, NJ 07601-8550
(551) 996-8090
(551) 996-8221
Mailing address
360 ESSEX ST, SUITE 403, HACKENSACK, NJ 07601-8550
(551) 996-8090
(551) 996-8221
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA07773400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7586205
—
NJ
Enumeration date
03/23/2006
Last updated
12/10/2014
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