Individual
SANGROK MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., L.AC.
Contact information
Practice address
2460 LEMOINE AVE STE 203, FORT LEE, NJ 07024-6210
(201) 559-5307
(201) 351-4787
Mailing address
2460 LEMOINE AVE STE 203, FORT LEE, NJ 07024-6210
(201) 559-5307
(201) 351-4787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00648800
NJ
171100000X
Acupuncturist
Primary
25MZ00081300
NJ
Other
Enumeration date
06/25/2012
Last updated
12/09/2020
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