Individual
KINGSLEY FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
16 JAKE DR, CREAM RIDGE, NJ 08514-1827
(732) 543-5993
Mailing address
16 JAKE DR, CREAM RIDGE, NJ 08514-1827
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00087600
NJ
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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