Provider Demographics
NPI:1124334818
Name:YOON, WON
Entity type:Individual
Prefix:MR
First Name:WON
Middle Name:
Last Name:YOON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 STATE ROUTE 57
Mailing Address - Street 2:MATLOCK FAMILY CHIROPRACTIC AND WELLNESS
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865
Mailing Address - Country:US
Mailing Address - Phone:908-859-0300
Mailing Address - Fax:908-859-0315
Practice Address - Street 1:100 W, OLD MARLTON PIKE
Practice Address - Street 2:LIEBMAN WELLNESS CENTER
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:856-596-3000
Practice Address - Fax:856-596-3301
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00095900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist