Individual
ANDREW SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18 NEWBURY ST FL 5, BOSTON, MA 02116-3246
(617) 304-1965
Mailing address
67 LUBEC ST APT 4, EAST BOSTON, MA 02128-4957
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
05/16/2024
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