ANDY YONGTAE JIN

JERSEY CITY, NJ
NPI1790538619
Former NameYONG TAE JIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-10
Last Update Date2024-07-30
Business Address
Dr. ANDY YONGTAE JIN DO
355 GRAND ST
JERSEY CITY, NJ 07302-4321
Phone number: 201-915-2000
Mailing Address
Dr. ANDY YONGTAE JIN DO
313-315 LAKE STREET APT 304
NEWARK, NJ 07104
Phone number: 201-403-6615