Individual
SIU SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
721 N BEERS ST, STE 1E,, HOLMDEL, NJ 07733-1518
(732) 888-2088
(732) 888-6288
Mailing address
721 N BEERS ST, STE 1E,, HOLMDEL, NJ 07733-1518
(732) 888-2088
(732) 888-6288
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00053000
NJ
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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