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Organization
HONG SIK PAK MD COREA REHAB PAIN CLINIC
Active
Organization
HONG SIK PAK MD COREA REHAB PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIM (BILLER)
(201) 446-6701
Entity
Organization
Contact information
Practice address
725 GRAND AVE, SUITE 103, RIDGEFIELD, NJ 07657-1045
(201) 446-6701
(201) 840-7008
Mailing address
725 GRAND AVE, SUITE 103, RIDGEFIELD, NJ 07657-1045
(201) 446-6701
(201) 840-7008
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
25MA07185900
NJ
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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