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Individual

MR. WONSOCK SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 PINE ST SE, SUITE 200, VIENNA, VA 22180-4861
(703) 865-8615
(301) 777-7455
Mailing address
410 PINE ST SE, SUITE 200, VIENNA, VA 22180-4861
(703) 865-8615
(301) 777-7455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0055325
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226305000
MD
Enumeration date
07/27/2005
Last updated
11/14/2025
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