Individual
DR. WAN S SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N LANSDOWNE AVE, DCMH, DREXEL HILL, PA 19026-1114
(610) 394-1735
(610) 284-8312
Mailing address
501 N LANSDOWNE AVE, DCMH, DREXEL HILL, PA 19026-1114
(610) 394-1735
(610) 284-8312
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD025427E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099361702
—
PA
Enumeration date
01/18/2006
Last updated
06/25/2013
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