Individual provider · Type 1 NPI
Yeon A. Shim, DPM
Foot Surgery Podiatrist · Roselle, NJ
NPI number
1679504302
Active
Practice location
1305 Saint George Ave
Roselle, NJ 07203-2806
Fax (908) 620-1040
Mailing address
776 E 3rd Ave, Ste 2
Roselle, NJ 07203-1697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | MD002426 (NJ) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1679504302
Yeon A. Shim, DPM's National Provider Identifier is 1679504302, issued on Jul 5, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Roselle, NJ. The record was last updated on Jan 2, 2016.