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Organization

PHYSICIAN VISITING CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYE S CHUN DO (OWNER)
(973) 579-4411
Entity
Organization

Contact information

Practice address
55 - 59 WASHINGTON AVE., BELLEVILLE, NJ 07109-2931
(973) 759-4411
(973) 616-7338
Mailing address
55 - 59 WASHINGTON AVE., BELLEVILLE, NJ 07109-2931
(973) 759-4411
(973) 616-7338

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MB06411400
NJ

Other

Enumeration date
09/09/2014
Last updated
09/09/2014
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