Organization
PINE ACUPUNCTURE & HERBAL MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOAM KIM (OWNER)
(201) 585-8285
Entity
Organization
Contact information
Practice address
166 MAIN ST, #2B, FORT LEE, NJ 07024-6922
(201) 585-8285
Mailing address
166 MAIN ST, #2B, FORT LEE, NJ 07024-6922
(201) 585-8285
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MZ00016800
NJ
Other
Enumeration date
09/19/2009
Last updated
09/19/2009
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