Organization
GRAND ACUPUNCTURE AND HERBS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNGYUP SONG (LICENSED ACUPUNCTURIST)
(201) 265-2600
Entity
Organization
Contact information
Practice address
30 KINDERKAMACK RD FL 2, ORADELL, NJ 07649-2615
(201) 265-2600
Mailing address
30 KINDERKAMACK RD FL 2, ORADELL, NJ 07649-2615
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
004738
NY
171100000X
Acupuncturist
14986
CA
171100000X
Acupuncturist
Primary
25MZ00118700
NJ
Other
Enumeration date
05/27/2017
Last updated
05/27/2017
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