Individual
DR. JORDAN T SHIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, YAW 5 CARDIAC UNIT ASSOCIATES, BOSTON, MA 02114-2621
(617) 724-6750
(617) 724-6767
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209706
MA
207RC0000X
Cardiovascular Disease Physician
Primary
209706
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198447
—
MA
01
—
458021
TUFTS HEALTH PLAN
MA
01
—
J25211
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
09/11/2025
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