Individual
KITAK RYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 AVENUE C, BAYONNE, NJ 07002-2844
(201) 436-0911
Mailing address
825 RAY AVE, RIDGEFIELD, NJ 07657
(201) 615-8242
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00130100
NJ
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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