Individual
INSUNG MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16 E 16TH ST, NEW YORK, NY 10003-3105
(212) 633-0800
Mailing address
515 LESLIE LN, BLUE BELL, PA 19422-2152
(215) 917-3446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD440605
PA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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