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Individual

TANVI DODIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
425 MANILA AVE FL 1, JERSEY CITY, NJ 07302-2539
(312) 813-8448
Mailing address
425 MANILA AVE FL 1, JERSEY CITY, NJ 07302-2539
(312) 813-8448

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005493
NY
171100000X
Acupuncturist
Primary
25MZ00111200
NJ

Other

Enumeration date
05/25/2015
Last updated
05/25/2015
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