Healthcare Provider Details
I. General information
NPI: 1588496020
Provider Name (Legal Business Name): SAEM WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
385 SYLVAN AVE STE 25
ENGLEWOOD CLIFFS NJ
07632-2722
US
IV. Provider business mailing address
385 SYLVAN AVE STE 25
ENGLEWOOD CLIFFS NJ
07632-2722
US
V. Phone/Fax
- Phone: 201-753-3067
- Fax:
- Phone: 201-753-3067
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EUGENE
HONGSUK
CHOI
Title or Position: LAC
Credential:
Phone: 201-739-0074