Healthcare Provider Details

I. General information

NPI: 1063511657
Provider Name (Legal Business Name): EUN H. SHEEN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 SYLVAN AVE STE 205
ENGLEWOOD CLIFFS NJ
07632-2923
US

IV. Provider business mailing address

460 SYLVAN AVE STE 205
ENGLEWOOD CLIFFS NJ
07632-2923
US

V. Phone/Fax

Practice location:
  • Phone: 201-567-0404
  • Fax: 201-567-5590
Mailing address:
  • Phone: 201-567-0404
  • Fax: 201-567-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number001386
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMA03956200
License Number StateNJ

VIII. Authorized Official

Name: DR. EUN HO SHEEN
Title or Position: DOCTOR
Credential: M.D.
Phone: 201-567-0404