Individual
DONGWOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1063 PALISADE AVE, FORT LEE, NJ 07024-6359
(347) 757-1111
Mailing address
1063 PALISADE AVE, FORT LEE, NJ 07024-6359
(347) 757-1111
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00108600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ00108600
NJ OFFICE OF THE ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
07/12/2015
Last updated
04/01/2025
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