Individual
VERONICA BOGOMAZOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
740 NJ-34, 2ND FLOOR, SUITE E, MATAWAN, NJ 07747-6688
(732) 540-7233
Mailing address
72 MANOR DRIVE, RED BANK, NJ 07701
(908) 338-1077
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00101400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ00101400
NJ STATE ACUPUNCTURE LICENSE
NJ
Enumeration date
04/30/2014
Last updated
10/18/2022
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