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Individual

JAEDOO LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
517 CEDAR LN FL 2, TEANECK, NJ 07666-1710
(201) 347-9393
Mailing address
517 CEDAR LN FL 2, TEANECK, NJ 07666-1710
(201) 347-9393
(201) 482-8703

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00733100
NJ
171100000X
Acupuncturist
25MZ00156000
NJ

Other

Enumeration date
03/31/2016
Last updated
04/04/2022
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