Individual
DR. GYEYEE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4920 MAIN ST STE 302, BRIDGEPORT, CT 06606-1300
(475) 210-4960
(203) 371-0542
Mailing address
4920 MAIN ST STE 302, BRIDGEPORT, CT 06606-1300
(475) 210-4960
(203) 371-0542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047909
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804139
—
CT
01
—
047909
STATE LICENSE
CT
01
—
1861621005
NPI
—
Enumeration date
07/09/2009
Last updated
06/20/2025
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