Individual
JUN WEN SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(718) 960-1400
Mailing address
1256 CHOCTAW PL, BRONX, NY 10461
(718) 883-8321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
198170
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01562683
—
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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