# PALISADES PARK MEDICINE, P.C.

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

## Provider details

- **NPI number:** 1093080871
- **Authorized official:** DR. KYUNGKON KENNETH CHOI M.D. (OWNER)
- **Authorized official phone:** (201) 638-8156

## Contact information

- **Practice address:** 340 BROAD AVE, PALISADES PARK, NJ 07650-2618
- **Practice address phone:** (201) 592-1112
- **Mailing address:** 340 BROAD AVE, PALISADES PARK, NJ 07650-2618
- **Mailing address phone:** (201) 592-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2MA05329300 | NJ | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012