Organization
MDUSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIM (BILLER)
(201) 446-6701
Entity
Organization
Contact information
Practice address
244 BROAD AVE, 2ND FLOOR, PALISADES PARK, NJ 07650-1552
(201) 446-6701
Mailing address
244 BROAD AVE, 2ND FLOOR, PALISADES PARK, NJ 07650-1552
(201) 446-6701
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA65696
NJ
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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