Organization
YING SHIM, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN Y SHIM MD (PRESIDENT)
(201) 659-3003
Entity
Organization
Contact information
Practice address
3363 KENNEDY BLVD, JERSEY CITY, NJ 07307-4225
(201) 659-3003
(201) 659-3594
Mailing address
3363 KENNEDY BLVD, JERSEY CITY, NJ 07307-4225
(201) 659-3003
(201) 659-3594
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA25304
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1D2853302
—
NJ
Enumeration date
03/16/2010
Last updated
03/16/2010
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