Organization
USA WILD GINSENG CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KIM (BILLER)
(201) 446-6701
Entity
Organization
Contact information
Practice address
333 SYLVAN AVE, STE 301, ENGLEWOOD CLIFFS, NJ 07632-2724
(201) 446-6701
(201) 567-5478
Mailing address
333 SYLVAN AVE, STE 301, ENGLEWOOD CLIFFS, NJ 07632-2724
(201) 446-6701
(201) 567-5478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00729500
NJ
171100000X
Acupuncturist
25MZ00099200
NJ
225100000X
Physical Therapist
40QA00992600
NJ
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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