# HOLISTIC MEDICAL LLC

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

## Provider details

- **NPI number:** 1548512973
- **Authorized official:** HEEBAE KONG (ACUPUNCTURIST)
- **Authorized official phone:** (201) 944-0985

## Contact information

- **Practice address:** 140 SYLVAN AVE \# 107, ENGLEWOOD CLIFFS, NJ 07632-2514
- **Practice address phone:** (201) 944-0985
- **Mailing address:** 140 SYLVAN AVE \# 107, ENGLEWOOD CLIFFS, NJ 07632-2514
- **Mailing address phone:** (201) 944-0985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00091000 | NJ | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 10/09/2012
