Individual
MR. NICHOLAS KODJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CA, MA
Contact information
Practice address
70 PARK ST, MONTCLAIR, NJ 07042-5907
(973) 746-7766
Mailing address
70 PARK ST, MONTCLAIR, NJ 07042-5907
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00061100
NJ
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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