Individual
DR. ANDY YONGTAE JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
313-315 LAKE STREET, APT 304, NEWARK, NJ 07104
(201) 403-6615
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
07/30/2024
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