Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSANNA MIRAN PARK, L.AC.
Active Sole ProprietorSUSANNA MIRAN PARK, L.AC. is a Acupuncturist healthcare provider located in FORT LEE, New Jersey. NPI 1316329477 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · FORT LEE, NJ
Registration Details
- NPI Number
- 1316329477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2015 (11.113864904104 yrs)
- Last Updated
- Aug 2, 2022
- Licenses
-
005495-1 (NY)25MZ0012880 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1265 15TH ST.UNIT #5BFORT LEE, NJ, 070241954Browse NJ providers · Browse ZIP 07024
- Phone
- 2016554333
- Primary Specialty
-
Acupuncturist
171100000X
- Additional Specialty
- Acupuncturist
Other Acupuncturist Providers in FORT LEE, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. SANG WOO HAN | ACUPUNCTURIST | 1174652630 |
| DR. MIYANG KIM | — | 1467573097 |
| MR. RICHARD J KIM | LAC., C.A. | 1710167630 |
| HO JUNG SONG | — | 1235306572 |
| ZHONG-MING SUN | LIC. AC. | 1134388531 |
| DR. ZHONG KANG YU | LAC | 1750542114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.