Individual
PEARL JINJU BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
60 PARK PL STE 504, NEWARK, NJ 07102-5513
(973) 803-8130
Mailing address
60 PARK PL STE 504, NEWARK, NJ 07102-5513
(973) 803-8130
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
004823
NY
171100000X
Acupuncturist
Primary
25MZ00097300
NJ
Other
Enumeration date
08/16/2013
Last updated
12/31/2020
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