Provider First Line Business Practice Location Address:
158 LINWOOD PLZ
Provider Second Line Business Practice Location Address:
ROOM 208-10 : JONG H.KIM,MD'S PAIN & REHAB CENTER PC
Provider Business Practice Location Address City Name:
FORT LEE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07024-3761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-346-4347
Provider Business Practice Location Address Fax Number:
201-346-3950
Provider Enumeration Date:
04/14/2009