Individual
DR. ANDREW DONGUK NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1608 LEMOINE AVE STE 203, FORT LEE, NJ 07024-5636
(201) 944-8400
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA10392300
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA10392300
NJ
Other
Enumeration date
04/29/2013
Last updated
12/20/2024
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