Swbaik,Mdpa

LBN: Swbaik,Mdpa
Swbaik,Mdpa is an health care organization with primary practice located at 1608 Lemoine Ave Suite 200, Fort Lee NJ 07024-5622. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Swbaik,Mdpa can be contacted via phone (201) 302-9774, or through Baik, Seoung Won via phone (201) 302-9774.

Contact Information

Primary practice address
1608 Lemoine Ave Suite 200 Fort Lee NJ 07024-5622
Phone: (201) 302-9774
Fax: (201) 482-0664
Website:
Map and Directions
Authorized official contact:
Name: Baik, Seoung Won Doctor of Medicine (MD)
Phone: (201) 302-9774

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1790746782
LBN Legal business name Swbaik,Mdpa
DBA Doing business as
Authorized official Baik, Seoung Won Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790746782 NPPES
New Jersey MEDICAID 3936406

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