Individual
BARON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 E PASSAIC ST, MAYWOOD, NJ 07607-1342
(201) 880-7787
Mailing address
119 E PASSAIC ST, MAYWOOD, NJ 07607-1342
(201) 880-7787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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