Shin, Pheodora

Shin, Pheodora is an individual health care provider with primary practice located at 100 Madison Ave , Morristown NJ 07960-6136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Shin, Pheodora can be contacted via phone (800) 991-9133.

Contact Information

Primary practice address
100 Madison Ave Morristown NJ 07960-6136
Phone: (800) 991-9133
Fax: (201) 943-8733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA062874 New Jersey

Profile Details

NPI number 1326020355
LBN Legal business name Shin, Pheodora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326020355 NPPES
New Jersey MEDICAID 6710107

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