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Individual

DR. SEOUNG WON BAIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1608 LEMOINE AVE STE 200, FORT LEE, NJ 07024-5636
(201) 302-9774
Mailing address
1608 LEMOINE AVE STE 200, FORT LEE, NJ 07024-5636
(201) 302-9774
(732) 744-1592

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA43923
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3936406
NJ
Enumeration date
02/01/2006
Last updated
08/29/2023
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