| None | |
|
50 Park Ave Paterson NJ 07501-2207 | |
| (973) 278-9800 | |
| (973) 278-0070 |
| Full Name | None |
|---|---|
| Speciality | Clinic/center |
| Location | 50 Park Ave, Paterson, New Jersey |
| Authorized Official Name and Position | Yong Ho Shin (PRESIDENT) |
| Authorized Official Contact | 9732789800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 50 Park Ave Paterson NJ 07501-2207 Ph: (973) 278-9800 | None 50 Park Ave Paterson NJ 07501-2207 Ph: (973) 278-9800 |
| NPI Number | 1326364589 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 04/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326364589 | NPI | - | NPPES |
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