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MALSUN KIM
>> Acupuncturist >> Other Service ProvidersRegistrant NPI Number: 1598139016
Individual Registrant: MALSUN KIM
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
275 KENSINGTON AVE NORWOOD, NJ 07648-1707 US
Tel: 201-768-5449 Fax: --
Tel: 201-768-5449 Fax: --
Contact information for business:
275 KENSINGTON AVE NORWOOD, NJ 07648-1707 US
Tel: 201-768-5449 Fax: --
Tel: 201-768-5449 Fax: --
Registration Information:
NPI: 1598139016
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171100000X | Other Service Providers Acupuncturist | NJ | 25MZ00101900 |
| N | 171100000X | Other Service Providers Acupuncturist | NY | 005194 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
