| Shine Medical Of New Jersey, P.c. | |
|
830 Morris Tpke Fl 4 Short Hills NJ 07078-2625 | |
| (909) 442-0618 | |
| Not Available |
| Full Name | Shine Medical Of New Jersey, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 830 Morris Tpke Fl 4, Short Hills, New Jersey |
| Authorized Official Name and Position | Elana Lisch (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 9094420618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Medical Of New Jersey, P.c. 122 Grand St New York NY 10013-2614 Ph: () - | Shine Medical Of New Jersey, P.c. 830 Morris Tpke Fl 4 Short Hills NJ 07078-2625 Ph: (909) 442-0618 |
| NPI Number | 1215662747 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215662747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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