# KOAM ACUPUNCTURE & HERBS

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

## Provider details

- **NPI number:** 1689286007
- **Authorized official:** NOMI OM (MANAGER)
- **Authorized official phone:** (201) 913-3977

## Contact information

- **Practice address:** 901 AVENUE C, BAYONNE, NJ 07002-3012
- **Practice address phone:** (201) 913-3977
- **Practice address fax:** (888) 534-5993
- **Mailing address:** 300 WINSTON DR APT 615, CLIFFSIDE PARK, NJ 07010-3213
- **Mailing address phone:** (201) 913-3977
- **Mailing address fax:** (888) 534-5993

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 08/18/2020