Organization
NJ REHAB PAIN CLINIC & PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWANGSU KIM DPM (PRESIDENT)
(718) 229-9200
Entity
Organization
Contact information
Practice address
845 BROAD AVE, RIDGEFIELD, NJ 07657-1002
(201) 390-3730
Mailing address
845 BROAD AVE, RIDGEFIELD, NJ 07657-1055
(201) 390-3730
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00301600
NJ
Other
Enumeration date
07/18/2016
Last updated
10/22/2025
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