Provider Demographics
NPI:1255173993
Name:SANGBUMN KIM JOY ACUPUNCTURE
Entity type:Organization
Organization Name:SANGBUMN KIM JOY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANGBUMN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-873-3719
Mailing Address - Street 1:35 E MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2162
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35 E MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2162
Practice Address - Country:US
Practice Address - Phone:856-873-3719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty