Individual
MR. ROMAN KHODIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MA
Contact information
Practice address
350 W PASSAIC ST STE 2, ROCHELLE PARK, NJ 07662-3000
(201) 880-6207
(201) 880-6208
Mailing address
9-09 ELAINE TER, FAIR LAWN, NJ 07410-5714
(201) 707-8025
(201) 791-3508
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00128600
NJ
Other
Enumeration date
01/02/2018
Last updated
03/17/2018
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