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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