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Individual

INKAP SONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
36 FAIRFIELD RD, FAIRFIELD, NJ 07004-3202
(973) 772-7111
(973) 860-0779
Mailing address
36 FAIRFIELD RD, FAIRFIELD, NJ 07004-3202
(973) 772-7111
(973) 860-0779

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
003943-1
NY
171100000X
Acupuncturist
Primary
25MZ00068300
NJ

Other

Enumeration date
09/06/2009
Last updated
09/06/2009
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