| Sm Chiropractic & Acupuncture | |
|
2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210 | |
| (201) 559-5307 | |
| (201) 351-4787 |
| Full Name | Sm Chiropractic & Acupuncture |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2460 Lemoine Ave Ste 203, Fort Lee, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356764492 | NPI | - | NPPES |
| 1184988107 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00648800 (New Jersey) | Primary |
| 171100000X | Acupuncturist | 25MZ00081300 (New Jersey) | Secondary |
| Provider Name | Sangrok Moon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184988107 PECOS PAC ID: 0840431912 Enrollment ID: I20130801000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Sm Chiropractic & Acupuncture 2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210 Ph: (201) 559-5307 | Sm Chiropractic & Acupuncture 2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210 Ph: (201) 559-5307 |
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