Individual
DR. PETER HUN SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
80 SEYMOUR ST BLDG 502, HARTFORD, CT 06102-8000
(186) 097-2054
(860) 545-5221
Mailing address
903 COLETTA CIR, NAPERVILLE, IL 60563-3616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
143638
MT
207R00000X
Internal Medicine Physician
20A19217
CA
207R00000X
Internal Medicine Physician
Primary
69857
CT
207R00000X
Internal Medicine Physician
DR.0050005
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A19217
STATE LICENSE
CA
01
—
DR.0050005
STATE LICENSE
CO
Enumeration date
08/05/2008
Last updated
09/08/2024
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