Organization
BE WELL ORIENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYONG OK OM LAC (OWNER)
(201) 913-3977
Entity
Organization
Contact information
Practice address
841 KEARNY AVE APT 1, KEARNY, NJ 07032-3249
(201) 913-3977
(888) 534-5993
Mailing address
8200 BOULEVARD E APT 28L, NORTH BERGEN, NJ 07047-6045
(201) 913-3977
(888) 534-5993
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005008
NY
171100000X
Acupuncturist
005016
NY
171100000X
Acupuncturist
Primary
25MZ00099600
NJ
171100000X
Acupuncturist
25MZ00107700
NJ
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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