Organization
GARAM HOLISTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOAM KIM LAC (PRESIDENT)
(201) 585-8285
Entity
Organization
Contact information
Practice address
166 MAIN ST STE 2B, FORT LEE, NJ 07024-6922
(201) 585-8285
(201) 585-8290
Mailing address
161 MAIN ST #2B, FORT LEE, NJ 07024
(201) 585-8285
(201) 585-8290
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MZ00016800
NJ
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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