# GS SPONTANEOUS HEALING

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

## Provider details

- **NPI number:** 1427361047
- **Authorized official:** JAEHO CHOI (DIRECTOR)
- **Authorized official phone:** 22215852245

## Contact information

- **Practice address:** 123 GRAND AVE, PALISADES PARK, NJ 07650-1144
- **Practice address phone:** (201) 585-2245
- **Mailing address:** 123 GRAND AVE, PALISADES PARK, NJ 07650-1144
- **Mailing address phone:** (201) 585-2245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01157100 | NJ | Yes |

## Other

- **Enumeration date:** 07/24/2010
- **Last updated:** 07/24/2010