Organization
EVERGREEN ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY KYUNGAE CHAE L.AC., PH.D. (PRESIDENT)
(201) 945-0022
Entity
Organization
Contact information
Practice address
2083 CENTER AVE., 2A, FORT LEE, NJ 07024
(201) 945-0022
(877) 371-3713
Mailing address
2083 CENTER AVE., 2A, FORT LEE, NJ 07024
(201) 945-0022
(877) 371-3713
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00031800
NJ
Other
Enumeration date
11/06/2010
Last updated
05/10/2019
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