Individual
MR. BEOMSEOK OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1ST AVE AT 16TH ST, NEW YORK, NY 10003
(212) 420-2908
Mailing address
38 MEODOWLANDS PARKWAY, SUIT 205, SECAUCUS, NJ 07094
(551) 257-7015
(551) 257-7025
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26NJ00596800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00596800
NJ
Other
Enumeration date
10/20/2015
Last updated
11/07/2017
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