NPI 1104210632

Hong Sik Pak MD Corea Rehab Pain Clinic

Organisation Rehabilitation Practitioner Ridgefield, NJ

Practice location

Address: 725 Grand Ave Suite 103, Ridgefield, NJ 07657-1045
Phone: (201) 446-6701
Fax: (201) 840-7008

Authorised official

Name: Brian Kim
Title: Biller
Phone: (201) 446-6701

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 25MA07185900 (NJ)

Other Rehabilitation Practitioner providers in New Jersey →

Registry record

NPI: 1104210632
Entity type: Organization
NPI issued: 23 Mar 2015
Record last updated: 23 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.