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Organization
PHYSICIAN VISITING CARE
Active
Organization
PHYSICIAN VISITING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYE S CHUN DO (OWNER)
(973) 579-4411
Entity
Organization
Contact information
Practice address
55 - 59 WASHINGTON AVE., BELLEVILLE, NJ 07109-2931
(973) 759-4411
(973) 616-7338
Mailing address
55 - 59 WASHINGTON AVE., BELLEVILLE, NJ 07109-2931
(973) 759-4411
(973) 616-7338
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MB06411400
NJ
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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