Shen, Jung San
Shen, Jung San is an sole proprietor health care provider with primary practice located at 219 S Broad St , Elizabeth NJ 07202-3453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Shen, Jung San can be contacted via phone (908) 352-5927.Contact Information
Primary practice address
219 S Broad St
Elizabeth NJ 07202-3453
Phone: (908) 352-5927
Fax: (908) 352-6181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA02834800 | New Jersey |
Profile Details
| NPI number | 1053411272 |
|---|---|
| LBN Legal business name | Shen, Jung San |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1053411272 | NPPES |
| New Jersey | MEDICAID | 2112701 |
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