# TRISTATE MEDICAL CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053352468
- **Authorized official:** DR. HONG SIK PAK M.D. (PRESIDENT)
- **Authorized official phone:** (201) 313-4840

## Contact information

- **Practice address:** 21 GRAND AVE, SUITE 505, PALISADES PARK, NJ 07650-1076
- **Practice address phone:** (201) 313-4840
- **Practice address fax:** (201) 313-9353
- **Mailing address:** 21 GRAND AVE, SUITE 505, PALISADES PARK, NJ 07650-1076
- **Mailing address phone:** (201) 313-4840
- **Mailing address fax:** (201) 313-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MA071859 | NJ | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020