Riversquare Clinic, LLC
NPI #1518200773 in Englewood Cliffs, New Jersey
Provider Information
- NPI Number
- 1518200773
- Entity Type
- Organization
- Organization Name
- Riversquare Clinic, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 5, 2013
- Last Updated
- Apr 5, 2013
Practice Location
- Address
- 140 SYLVAN AVE
- Address 2
- SUITE 107
- City
- Englewood Cliffs
- State
- New Jersey
- ZIP Code
- 07632-2514
- Phone
- (201) 944-0985
Authorized Official
- Name
- MR. JUSEOK PARK
- Title
- PRESIDENT
- Phone
- (201) 944-0985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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