Provider Demographics
NPI:1073075248
Name:SEONG, MINGEUNG (DACM)
Entity Type:Individual
Prefix:DR
First Name:MINGEUNG
Middle Name:
Last Name:SEONG
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 AVE AT PORT IMPERIAL APT 407
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-7806
Mailing Address - Country:US
Mailing Address - Phone:201-450-1828
Mailing Address - Fax:
Practice Address - Street 1:22 AVE AT PORT IMPERIAL APT 407
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-7806
Practice Address - Country:US
Practice Address - Phone:201-450-1828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00137100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty