# MR. MIN JAE CHUNG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083752133
- **Gender:** Man
- **Credential:** LIA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 0121000393 | VA | — |
| 171100000X | Acupuncturist | 25MZ00074500 | NJ | Yes |
| 171100000X | Acupuncturist | U01369 | MD | — |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 07/22/2020
