Individual
DR. YONG H. SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 PARK AVE, PATERSON, NJ 07501-2207
(973) 278-9800
(973) 278-0070
Mailing address
948 MAPLE AVE, RIDGEFIELD, NJ 07657-1108
(201) 945-2279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03183100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009102
—
NJ
Enumeration date
09/26/2006
Last updated
07/08/2007
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