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David Shin
Medical Physician Assistant in Fort Lee, New Jersey
NPI 1366112526

David Shin is a Medical Physician Assistant based in Fort Lee, NJ and is specialized in Medical. David Shin practices in Fort Lee, NJ. The NPI Number for David Shin is 1366112526 and holds a License No. (New Jersey).

The current practice location address for David Shin is 2175 Lemoine Ave Fl 6, Fort Lee, NJ and can be reached out via phone at 866-722-3338. You can also correspond with David Shin through the mailing address at 2175 LEMOINE AVE FL 6, FORT LEE, NJ - 07024-6008 (mailing address contact number: 201-886-9000).

Location: 2175 Lemoine Ave Fl 6, Fort Lee, NJ, 07024-6008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366112526
Provider Name
David Shin
Credential
Provider Entity Type
Individual
Gender
Male
Address
2175 Lemoine Ave Fl 6, Fort Lee, NJ, 07024-6008
Phone Number
866-722-3338
Fax Number
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2175 Lemoine Ave Fl 6
City
Fort Lee
State
New Jersey
Zip
07024-6008
Phone Number
866-722-3338
Fax Number
person
Provider Business Mailing Address Details
Address
2175 Lemoine Ave Fl 6
City
Fort Lee
State
New Jersey
Zip
07024-6008
Phone Number
866-722-3338
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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