Organization
HONG PAK MD MEDICAL OF NORTHERN NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONG SIK PAK MD (MANAGING MEMBER)
(201) 840-5055
Entity
Organization
Contact information
Practice address
2400 LEMOINE AVE # 209, FORT LEE, NJ 07024-6204
(201) 580-0725
(201) 363-8822
Mailing address
2400 LEMOINE AVE # 209, FORT LEE, NJ 07024-6204
(201) 840-5055
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
09/20/2019
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