Organization
ADVANCED INTERNAL CARE OF CENTRAL JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONG Y MOON M.D (OWNER)
(559) 840-5395
Entity
Organization
Contact information
Practice address
906 OAK TREE AVE STE A, SOUTH PLAINFIELD, NJ 07080-5127
(559) 840-5395
Mailing address
1230 E CHAMPLAIN DR APT 104, FRESNO, CA 93720-5067
(559) 840-5395
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA069694
NJ
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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