Organization
YONG SHIK SHIN MD AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG SHIK SHIN MD (MEDICAL DIRECTOR OWNER)
(610) 327-1631
Entity
Organization
Contact information
Practice address
1630 E HIGH ST, BLDG #4, POTTSTOWN, PA 19464-3244
(610) 327-1631
(610) 327-1199
Mailing address
1630 E HIGH ST, BLDG #4, POTTSTOWN, PA 19464-3244
(610) 327-1631
(610) 327-1199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
12/05/2014
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