Individual
JOSEPH H SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, PLASTIC & RECONSTRUCTIVE SURGERY, LEBANON, NH 03756-1000
(603) 650-5148
Mailing address
1 MEDICAL CENTER DR, PLASTIC & RECONSTRUCTIVE SURGERY, LEBANON, NH 03756-1000
(603) 650-5148
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
17031
NH
208200000X
Plastic Surgery Physician
LT-3507
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011121
—
VT
05
—
3100637
—
NH
Enumeration date
12/02/2005
Last updated
05/15/2015
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