Susanna Miran Park, L.AC.

NPI #1316329477 in Fort Lee, New Jersey

Provider Information

NPI Number: 1316329477
Entity Type: Individual
Name: Susanna Miran Park, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Jun 25, 2015
Last Updated: Aug 2, 2022

Practice Location

Address: 1265 15TH ST.
Address 2: UNIT #5B
City: Fort Lee
State: New Jersey
ZIP Code: 07024-1954
Phone: (201) 655-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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