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Susanna H Shin, MD

in Voorhees, NJ. Individual provider (NPI-1).

NPI number1720249121
StatusActive
Last updated in NPPESAug 5, 2020

Details

NPI
1720249121
Entity type
Individual (NPI-1)
Name
Susanna H Shin
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 19, 2008
Certification date
Aug 5, 2020
Last updated
Aug 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X 25MA10852100NJYes
2086S0129X MD039857DC

Practice location

333 Laurel Oak Rd
Voorhees, NJ 08043-4453

Phone 856-783-0191 · Fax 856-783-0264

Mailing address

400 Laurel Oak Rd Ste 105
Voorhees, NJ 08043-4455

Phone 856-922-9894 · Fax 856-922-9890

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