Organization
RIVERSQUARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSEOK PARK (PRESIDENT)
(201) 944-0985
Entity
Organization
Contact information
Practice address
140 SYLVAN AVE, SUITE 107, ENGLEWOOD CLIFFS, NJ 07632-2514
(201) 944-0985
(201) 944-0912
Mailing address
140 SYLVAN AVE, SUITE 107, ENGLEWOOD CLIFFS, NJ 07632-2514
(201) 944-0985
(201) 944-0912
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MZ00088900
NJ
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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