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Individual

JOHN SHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 710-2756
Mailing address
104 CENTRAL AVE APT 121, DAYTON, OH 45406-5405

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/14/2017
Last updated
02/14/2017
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