Individual
DIANA JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3238
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3238
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA11572600
NJ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
306413
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
04/09/2025
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