# BETHESDA ACUPUNCTURE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033508296
- **Authorized official:** MRS. SO YOUNG KWON (BILLER)
- **Authorized official phone:** (201) 977-1017

## Contact information

- **Practice address:** 663 GRAND AVE, \#1, RIDGEFIELD, NJ 07657-1521
- **Practice address phone:** (201) 977-1017
- **Mailing address:** 663 GRAND AVE, \#1, RIDGEFIELD, NJ 07657-1521
- **Mailing address phone:** (201) 977-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2015
- **Last updated:** 01/12/2015