Provider Demographics
NPI:1912619149
Name:SEONG TCM
Entity Type:Organization
Organization Name:SEONG TCM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHANG SEONG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-884-1875
Mailing Address - Street 1:2175 LEMOINE AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6019
Mailing Address - Country:US
Mailing Address - Phone:201-884-1875
Mailing Address - Fax:
Practice Address - Street 1:2175 LEMOINE AVE STE 501
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6019
Practice Address - Country:US
Practice Address - Phone:201-884-1875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty