Individual
LING-YU SHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 BERGEN ST, DOC 5100, NEWARK, NJ 07103-2425
(973) 972-5779
(973) 972-5895
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
25MA03325100
NJ
207SG0202X
Clinical Biochemical Genetics Physician
25MA03325100
NJ
208000000X
Pediatrics Physician
Primary
25MA03325100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3705803
—
NJ
Enumeration date
11/13/2006
Last updated
01/24/2022
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