NPI 1003072570
Jai Sue, CA
Practice location
- Address
- 13 Grenadier Dr, Mahwah, NJ 07430-1542
- Phone
- (201) 638-5493
- Fax
- (201) 252-2348
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1003072570
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Aug 2008
- Record last updated
- 4 Aug 2008
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.