Provider Demographics
NPI:1710331657
Name:SHIN, WOO
Entity Type:Individual
Prefix:MS
First Name:WOO
Middle Name:
Last Name:SHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:PILLMEIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1833 CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2902
Mailing Address - Country:US
Mailing Address - Phone:267-334-6399
Mailing Address - Fax:
Practice Address - Street 1:1833 CHAPEL RD
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2902
Practice Address - Country:US
Practice Address - Phone:267-334-6399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management