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Organization
SM CHIROPRACTIC PC
Active
Organization
SM CHIROPRACTIC PC
Active
Other names
SM Chiropractic & Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
SANGROK MOON DC, L.AC. (PRESIDENT)
(201) 410-9293
Entity
Organization
Contact information
Practice address
2460 LEMOINE AVE STE 203, FORT LEE, NJ 07024-6210
(201) 559-5307
(201) 351-4787
Mailing address
2460 LEMOINE AVE STE 203, FORT LEE, NJ 07024-6210
(201) 559-5307
(201) 351-4787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00648800
NJ
171100000X
Acupuncturist
25MZ00081300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184988107
NPI
NJ
Enumeration date
01/25/2014
Last updated
04/27/2020
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