Organization
PURE MIND ACUPUNCTURE& HERB, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JI YONG KIM (PRESIDENT)
(609) 392-0700
Entity
Organization
Contact information
Practice address
2500 LEMOINE AVE, SUITE #301, FORT LEE, NJ 07024-6232
(201) 363-0233
Mailing address
1330 REV S HOWARD WOODSON JR WAY # 4, TRENTON, NJ 08638-4018
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MZ00045000
NJ
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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