Dongwuk Shin, M.D.
Internal Medicine in River Edge, NJ. Individual provider (NPI-1).
NPI number1083005151
StatusActive
Last updated in NPPESFeb 11, 2015
Details
- NPI
- 1083005151
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dongwuk Shin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2015
- Last updated
- Feb 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA02974800 | NJ | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 25MA02974800 | NJ |
Practice location
130 Kinderkamack Rd.River Edge, NJ 07661
Phone 201-567-0633 · Fax 201-567-0633
Mailing address
P.O. Box 247River Edge, NJ 07661
Phone 201-567-0633 · Fax 201-567-0633
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Other Internal Medicine Physician providers in River Edge, NJ
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