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NPI Code Detail

MEDICARE: HANA ACUPUNCTURE AND HERBS, PC

MEDICARE: HANA ACUPUNCTURE AND HERBS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist25MZ00019800NJ

General Provider Information

NPI Number : 1265729974
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANA ACUPUNCTURE AND HERBS, PC
Provider Business Mailing Address
First Line : 45 BROAD AVE
Second Line :
City : PALISADES PARK
State : NJ
Zip : 07650-1443
Country : US
Telephone Number : 201-313-0501
Fax Number : 201-313-1454
Provider Business Practice Location Address
First Line : 2040 MILLBURN AVE STE 403
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3716
Country : US
Telephone Number : 201-543-4551
Fax Number : 201-313-1454
Authorized Official
Title or Position : PRESIDENT
Name : MR. SUNG JAE HONG
Credential : LAC
Telephone Number : 201-313-0501
Provider Enumeration Date : 07/01/2011
Last Update Date : 07/01/2011

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Directions to “HANA ACUPUNCTURE AND HERBS, PC ” Practice Location

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