Individual
JACK W SHILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CENTENNIAL BLVD STE 203, VOORHEES, NJ 08043-4637
(856) 325-6677
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09602700
NJ
207X00000X
Orthopaedic Surgery Physician
MD067966L
PA
Other
Enumeration date
02/16/2006
Last updated
02/04/2020
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