Individual
MR. SEUNG HO SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2027 CENTER AVE, 1ST FLOOR, FORT LEE, NJ 07024-4707
(201) 363-1400
(201) 363-1401
Mailing address
2027 CENTER AVE, 1ST FLOOR, FORT LEE, NJ 07024-4707
(201) 363-1400
(201) 363-1401
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00079300
NJ
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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