Provider Demographics
NPI:1669858494
Name:RESAM HEALING US INC
Entity Type:Organization
Organization Name:RESAM HEALING US INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-446-6701
Mailing Address - Street 1:460 BERGEN BLVD
Mailing Address - Street 2:STE 304
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-2345
Mailing Address - Country:US
Mailing Address - Phone:201-446-6701
Mailing Address - Fax:
Practice Address - Street 1:460 BERGEN BLVD
Practice Address - Street 2:STE 304
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-2300
Practice Address - Country:US
Practice Address - Phone:201-446-6701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00046400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty