Roh, Shiyoung
Roh, Shiyoung is an individual health care provider with primary practice located at 1 Essex Center Dr , Peabody MA 01960-2901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Roh, Shiyoung can be contacted via phone (978) 538-4430.Contact Information
Primary practice address
1 Essex Center Dr
Peabody MA 01960-2901
Phone: (978) 538-4430
Fax: (781) 744-5215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 152359 | Massachusetts |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 152359 | Massachusetts |
Profile Details
| NPI number | 1871684795 |
|---|---|
| LBN Legal business name | Roh, Shiyoung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 10th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871684795 | NPPES |
| Massachusetts | MEDICAID | 110058590A |
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