Organization
SHINE MEDICAL OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARE FRANCES BOALS FRYE (SVP OF OPERATIONS)
(616) 648-1196
Entity
Organization
Contact information
Practice address
100 MATAWAN RD STE 325, MATAWAN, NJ 07747-3590
(888) 380-2028
Mailing address
PO BOX 52476, PHOENIX, AZ 85072-2476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
02/09/2026
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