NPI 1205160579

Pine Acupuncture & Herbal Medicine Clinic

Organisation Health Maintenance Organization Fort Lee, NJ

Practice location

Address: 166 Main St #2b, Fort Lee, NJ 07024-6922
Phone: (201) 585-8285

Authorised official

Name: Doam Kim
Title: Owner
Phone: (201) 585-8285

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence MZ00016800 (NJ)

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Registry record

NPI: 1205160579
Entity type: Organization
NPI issued: 19 Sep 2009
Record last updated: 19 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.