Individual
MS. EMILY M FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
220 FORSGATE DR, JAMESBURG, NJ 08831-1375
(732) 656-1740
(732) 656-1742
Mailing address
220 FORSGATE DR, JAMESBURG, NJ 08831-1375
(732) 656-1740
(732) 656-1742
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00062300
NJ
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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