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Individual

ILDONG IM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
120 VAN NOSTRAND AVE, ENGLEWOOD CLIFFS, NJ 07632-1555
(204) 944-5999
Mailing address
14 PEARL RD, CLOSTER, NJ 07624-1621
(201) 750-2671

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00036100
NJ

Other

Enumeration date
07/08/2007
Last updated
07/08/2007
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