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Organization
HONG PAK MD MEDICAL OF NORTHERN NJ LLC
Active
Organization
HONG PAK MD MEDICAL OF NORTHERN NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONG SIK PAK MD (MANAGING MEMBER)
(201) 840-5055
Entity
Organization
Contact information
Practice address
2400 LEMOINE AVE # 209, FORT LEE, NJ 07024-6204
(201) 580-0725
(201) 363-8822
Mailing address
2400 LEMOINE AVE # 209, FORT LEE, NJ 07024-6204
(201) 840-5055
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
09/20/2019
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