Jimmy Shak
Jimmy Shak is a Student in an Organized Health Care Education/Training Program in Old Bridge, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2455 Route 516 Fl 1Old Bridge, NJ 08857-1892
Phone: (646) 203-6960
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 22DI02796200 (NJ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1285132530 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 31, 2018 |
| Last updated in NPPES | May 17, 2021 |
| Certification date | April 27, 2021 |
| Mailing address | 8 Floral Terrace, Tenafly, NJ 07670 |
Other providers in Old Bridge
-
Dr. Daniel Fanouse, DO
1 Hospital Plz, Old Bridge, NJ 08857-3012 · (732) 360-1000
-
Vlada E Finch, MD
2624 Hwy 516, Old Bridge, NJ 08857-2306 · (732) 952-5000
-
Rahul Nayar, DO
72 Valentino Dr, Old Bridge, NJ 08857-3848 · (862) 777-0486
-
Saad Shahzad, MD
1 Hospital Plz, Old Bridge, NJ 08857-3012 · (732) 360-1000
-
Wahab Khan Umar, MD
1 Hospital Plz, Old Bridge, NJ 08857 · (732) 360-1000
-
Jeffrey Chao Zhang
2515 Highway 516 Ste 2, Old Bridge, NJ 08857-4605 · (732) 679-3600