| NPI | 1093502148 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | KI-YOON KIM Owner 201-566-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |