Individual
DR. JONG T SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
951 HADDONFIELD RD # 3B, CHERRY HILL, NJ 08002-2783
(856) 270-6800
(856) 324-5958
Mailing address
951 HADDONFIELD RD BLDG A13, CHERRY HILL, NJ 08002-2783
(856) 270-6800
(856) 324-5958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS013428
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MB08427400
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
OS013428
PA
Other
Enumeration date
06/24/2008
Last updated
08/13/2020
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