# GRAND ACUPUNCTURE AND HERBS, LLC

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

## Provider details

- **NPI number:** 1649708140
- **Authorized official:** JUNGYUP SONG (LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (201) 265-2600

## Contact information

- **Practice address:** 30 KINDERKAMACK RD FL 2, ORADELL, NJ 07649-2615
- **Practice address phone:** (201) 265-2600
- **Mailing address:** 30 KINDERKAMACK RD FL 2, ORADELL, NJ 07649-2615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 004738 | NY | — |
| 171100000X | Acupuncturist | 14986 | CA | — |
| 171100000X | Acupuncturist | 25MZ00118700 | NJ | Yes |

## Other

- **Enumeration date:** 05/27/2017
- **Last updated:** 05/27/2017