David Jung Sug Shim PH.D.

NPI 1124335856 - Psychologist - 103TC0700X

NPI Details
NPI 1124335856
Gender Male
Enumeration Date 09/01/2010
Last Updated 09/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1507 WASHINGTON ST
WEST NEWTON MA, 02465-2219, US
Phone (781) 985-5745
Fax
Business Location
11 BEAVER ST
WALTHAM MA, 02453-7003, US
Phone (781) 893-0611
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Massachusetts
License Number 7738
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According to our database, Dr. David Jung Sug Shim PH.D. NPI is 1124335856, taxonomy code is 103TC0700X and license number is 7738, license state is located at Massachusetts. David Jung Sug Shim PH.D. physically located at 1507 Washington St, West Newton MA, 02465-2219. NPI Number David Jung Sug Shim PH.D. has the Individual type.

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1124335856 NPI number is provided on an as is basis without warranty of any kind. 1124335856 is maintained by the National Plan & Provider Enumeration System. The contents of David Jung Sug Shim PH.D. are for informational purposes only.