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Organization

FOREST ACUPUNCTURE & HERB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIYONG KIM (OWNER)
(201) 363-0233
Entity
Organization

Contact information

Practice address
119 CLIFFORD ST, #105, NEWARK, NJ 07105-1908
(201) 363-0233
Mailing address
119 CLIFFORD ST, #105, NEWARK, NJ 07105-1908
(201) 363-0233

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MZ00045000
NJ

Other

Enumeration date
09/19/2009
Last updated
09/19/2009
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