Organization
WAN SHIN MD PC
Active
Organization
WAN SHIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAN SHIN M.D. (PRESIDENT)
(703) 776-6086
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-6086
(703) 776-6085
Mailing address
PO BOX 7446, FAIRFAX STATION, VA 22039-7446
(703) 776-6086
(703) 776-6085
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101030663
VA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
Update your record
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