MR. Roman Khodik, LAC, MA

NPI #1588171318 in Rochelle Park, New Jersey

Provider Information

NPI Number: 1588171318
Entity Type: Individual
Name: MR. Roman Khodik, LAC, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC, MA
Enumeration Date: Jan 2, 2018
Last Updated: Mar 17, 2018

Practice Location

Address: 350 W PASSAIC ST STE 2
City: Rochelle Park
State: New Jersey
ZIP Code: 07662-3000
Phone: (201) 880-6207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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