Provider Demographics
NPI:1508225285
Name:HAMSOA NJ INC
Entity Type:Organization
Organization Name:HAMSOA NJ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC
Authorized Official - Prefix:
Authorized Official - First Name:YOUNGBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-592-9800
Mailing Address - Street 1:2083 CENTER AVE # 3A
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-7400
Mailing Address - Country:US
Mailing Address - Phone:201-592-9800
Mailing Address - Fax:201-592-1880
Practice Address - Street 1:2083 CENTER AVE # 3A
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7400
Practice Address - Country:US
Practice Address - Phone:201-592-9800
Practice Address - Fax:201-592-1880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00075700171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty