Organization
ALT. MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG SOP KIM D.O.M. (PRESIDENT)
(410) 203-1597
Entity
Organization
Contact information
Practice address
3201 CORPORATE CT FL 1, ELLICOTT CITY, MD 21042-2247
(410) 203-1597
Mailing address
3201 CORPORATE CT FL 1, ELLICOTT CITY, MD 21042-2247
(410) 203-1597
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
U01789
MD
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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