Individual
WENYIN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
111 S 11TH ST, BODINE CENTER, PHILADELPHIA, PA 19107-4824
(215) 955-6702
(215) 955-5331
Mailing address
111 S 11TH ST, BODINE CENTER, PHILADELPHIA, PA 19107-4824
(215) 955-6702
(215) 955-5331
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD439498
PA
2085R0001X
Radiation Oncology Physician
TRN9177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233234
—
NJ
05
—
1024817370001
—
PA
Enumeration date
10/16/2006
Last updated
06/11/2020
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