# WAN ACUPUNCTURE PC

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

## Provider details

- **NPI number:** 1598383903
- **Authorized official:** JINWAN KIM (OWNER)
- **Authorized official phone:** (201) 913-5130

## Contact information

- **Practice address:** 570 PIERMONT RD STE A7, CLOSTER, NJ 07624-3100
- **Practice address phone:** (201) 564-7888
- **Mailing address:** 174 DRUID AVE, DUMONT, NJ 07628-1932
- **Mailing address phone:** (201) 913-5130

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2020
- **Last updated:** 07/14/2020
