Most Relevant Information
Provider Data
| NPI Number: | 1003072570 |
| Provider Name: | JAI SUE C.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 25MZ00062800 |
Most Important Dates
| Enumeration Date: | 08/04/2008 |
| Last Updated: | 08/04/2008 |
Provider Practice Location
13 GRENADIER DR
MAHWAH
NJ
074301542
Practice Location Phone/Fax
| Phone: | 2016385493 |
| Fax: | 2012522348 |
Provider Mailing Location
13 GRENADIER DR
MAHWAH
NJ
074301542
Provider Mailing Phone/Fax
| Phone: | 2016385493 |
| Fax: | 2012522348 |