MEDICARE: GARAM HOLISTIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization	25MZ00016800	NJ

General Provider Information

NPI Number	:	1144638784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARAM HOLISTIC INC

Provider Business Mailing Address
First Line	:	161 MAIN ST #2B
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024
Country	:	US
Telephone Number	:	201-585-8285
Fax Number	:	201-585-8290

Provider Business Practice Location Address
First Line	:	166 MAIN ST STE 2B
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6922
Country	:	US
Telephone Number	:	201-585-8285
Fax Number	:	201-585-8290

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DOAM KIM
Credential	:	LAC
Telephone Number	:	201-585-8285

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	07/28/2014

Similar Medicare Providers

1205160579 — PINE ACUPUNCTURE & HERBAL MEDICINE CLINIC
Practice Location Address:

166 MAIN ST , #2B
FORT LEE, NJ
07024-6922

Practice Phone: 201-585-8285
Practice Fax:

1154655249 — DR. DOAM KIM L.AC.
Practice Location Address:

166 MAIN ST , #B
FORT LEE, NJ
07024-6922

Practice Phone: 201-585-8285
Practice Fax: 201-585-8290

1659958445 — THE FLEET
Practice Location Address:

166 MAIN ST STE 2
FORT LEE, NJ
07024-6922

Practice Phone: 201-328-4323
Practice Fax:

1689626749 — TOTAL RENAL CARE INC
Practice Location Address:

1975 CAROLINA PLACE DR
FORT MILL, SC
29708-6922

Practice Phone: 803-802-3027
Practice Fax: 803-802-0319

1710131065 — MARTHA F MOORE L.M.T.
Practice Location Address:

5201 SW 31ST AVE APT 105
FORT LAUDERDALE, FL
33312-6922

Practice Phone: 954-547-3749
Practice Fax:

1659230803 — SOONJI MIN
Practice Location Address:

259 MOHEGAN WAY
FORT LEE, NJ
07024-5261

Practice Phone: 551-327-1278
Practice Fax:

Directions to “GARAM HOLISTIC INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.