# BE WELL ORIENTAL MEDICINE

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

## Provider details

- **NPI number:** 1174989719
- **Authorized official:** MYONG OK OM LAC (OWNER)
- **Authorized official phone:** (201) 913-3977

## Contact information

- **Practice address:** 841 KEARNY AVE APT 1, KEARNY, NJ 07032-3249
- **Practice address phone:** (201) 913-3977
- **Practice address fax:** (888) 534-5993
- **Mailing address:** 8200 BOULEVARD E APT 28L, NORTH BERGEN, NJ 07047-6045
- **Mailing address phone:** (201) 913-3977
- **Mailing address fax:** (888) 534-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 005008 | NY | — |
| 171100000X | Acupuncturist | 005016 | NY | — |
| 171100000X | Acupuncturist | 25MZ00099600 | NJ | Yes |
| 171100000X | Acupuncturist | 25MZ00107700 | NJ | — |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 01/12/2016