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HONG SIK PAK MD COREA REHAB PAIN CLINIC NPI 1104210632


NPI Information

NPI: 1104210632
Provider Name: HONG SIK PAK MD COREA REHAB PAIN CLINIC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
725 GRAND AVE
SUITE 103
RIDGEFIELD, NJ
ZIP 07657
Phone: (201) 446-6701
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HONG SIK PAK MD COREA REHAB PAIN CLINIC is a rehabilitation practitioner in Ridgefield, NJ. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. HONG SIK PAK MD COREA REHAB PAIN CLINIC NPI is 1104210632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

725 GRAND AVE
SUITE 103
RIDGEFIELD, NJ
ZIP 07657-045
Phone: (201) 446-6701
Fax: (201) 840-7008

The provider's authorized official is Brian Kim .
The authorized official title is Biller and has the following contact phone number (201) 446-6701.

The enumeration date for this NPI number is 3/23/2015 and was last updated on 3/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation Practitioner25MA07185900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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