Provider Demographics
NPI:1639389869
Name:MIN, CHRISTINA J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:J
Last Name:MIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 1ST ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2153
Mailing Address - Country:US
Mailing Address - Phone:201-996-5850
Mailing Address - Fax:201-634-5444
Practice Address - Street 1:607 S NEW BALLAS RD STE 3300
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-251-4400
Practice Address - Fax:314-251-6375
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY232186207RH0003X
NJ25MA08367200207RH0003X
MO2018018488207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ140417AVFMedicare PIN