# HONG SIK PAK MD COREA REHAB PAIN CLINIC

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

## Provider details

- **NPI number:** 1104210632
- **Authorized official:** BRIAN KIM (BILLER)
- **Authorized official phone:** (201) 446-6701

## Contact information

- **Practice address:** 725 GRAND AVE, SUITE 103, RIDGEFIELD, NJ 07657-1045
- **Practice address phone:** (201) 446-6701
- **Practice address fax:** (201) 840-7008
- **Mailing address:** 725 GRAND AVE, SUITE 103, RIDGEFIELD, NJ 07657-1045
- **Mailing address phone:** (201) 446-6701
- **Mailing address fax:** (201) 840-7008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 25MA07185900 | NJ | Yes |

## Other

- **Enumeration date:** 03/23/2015
- **Last updated:** 03/23/2015