Organization
GS SPONTANEOUS HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEHO CHOI (DIRECTOR)
22215852245
Entity
Organization
Contact information
Practice address
123 GRAND AVE, PALISADES PARK, NJ 07650-1144
(201) 585-2245
Mailing address
123 GRAND AVE, PALISADES PARK, NJ 07650-1144
(201) 585-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01157100
NJ
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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