Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA03956200 | NJ |
NPI | 1255316675 |
---|---|
Provider Name | Eun H Sheen |
First Address | Fort Lee, NJ 07024-3803 |
Second Address | Fort Lee, NJ 07024-3798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0115992 | AMERIGROUP (01) | NJ |
1255316675 | COVENTRY HEALTH-FIRST HEALTH (01) | NJ |
1255316675 | TRICARE (01) | NJ |
1255316675 | U.S. FAMILY HEALTH (01) | NJ |
2415310000 | AMERIHEALTH (01) | NJ |
2695794 | G.H.I. EMBLEM HEALTH (01) | |
3428296 | AETNA (01) | NJ |
3469257 | AETNA (01) | NJ |
3469257 | AETNA HMO (01) | NJ |
3700704 | (05) | NJ |
443282 | WELLCARE (01) | NJ |
4902844 | CIGNA (01) | NJ |
60018394 | HORIZON N.J. HEALTH (01) | NJ |
6N8111 | EMPIRE BC (01) | NJ |
D14418 | (02) | |
P3239780 | OXFORD (01) | NJ |