| Ildong Im, LAC | |
|
120 Van Nostrand Ave, Englewood Cliffs, NJ 07632-1555 | |
| (204) 944-5999 | |
| Not Available |
| Full Name | Ildong Im |
|---|---|
| Gender | Male |
| Speciality | Acupuncturist |
| Location | 120 Van Nostrand Ave, Englewood Cliffs, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548468853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 25MZ00036100 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ildong Im, LAC 14 Pearl Rd, Closter, NJ 07624-1621 Ph: (201) 750-2671 | Ildong Im, LAC 120 Van Nostrand Ave, Englewood Cliffs, NJ 07632-1555 Ph: (204) 944-5999 |
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