Most Relevant Information
Provider Data
| NPI Number: | 1003221763 |
| Provider Name: | JACOB SHIN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0001X |
| Specialty: | Radiology |
| License Number: | 25MA10616000 |
Most Important Dates
| Enumeration Date: | 06/21/2014 |
| Last Updated: | 02/11/2020 |
Provider Practice Location
480 RED HILL RD
MIDDLETOWN
NJ
077483052
Practice Location Phone/Fax
| Phone: | 8482256000 |
| Fax: |
Provider Mailing Location
480 RED HILL RD
MIDDLETOWN
NJ
077483052
Provider Mailing Phone/Fax
| Phone: | 8482256000 |
| Fax: |