Healthcare Provider Details

I. General information

NPI: 1265252639
Provider Name (Legal Business Name): DAE ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ROUTE 73 N STE I
MARLTON NJ
08053-1283
US

IV. Provider business mailing address

8 CHERRYWOOD CT
CHERRY HILL NJ
08003-1900
US

V. Phone/Fax

Practice location:
  • Phone: 917-957-0997
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DAE HONG YIM
Title or Position: OWNER
Credential: L.AC
Phone: 917-957-0997