Organization
PRIME TOTAL PAIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG LEE DC (PRESIDENT)
(201) 290-5415
Entity
Organization
Contact information
Practice address
118 BROAD AVE STE 10, PALISADES PARK, NJ 07650-2717
(201) 313-1122
(201) 941-1157
Mailing address
118 BROAD AVE., SUITE 10, PALISADES PARK, NJ 07650
(201) 313-1122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00671900
NJ
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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