Individual
KWANYONG BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
485 MORSE AVE, RIDGEFIELD, NJ 07657-2420
(201) 759-2423
Mailing address
485 MORSE AVE, RIDGEFIELD, NJ 07657-2420
(201) 759-2423
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00149700
NJ
Other
Enumeration date
01/23/2021
Last updated
06/21/2021
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