Provider Demographics
NPI:1073801163
Name:DAI, SHUJING
Entity Type:Individual
Prefix:
First Name:SHUJING
Middle Name:
Last Name:DAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MOUNTAIN BLVD
Mailing Address - Street 2:BLDG A, SUITE 110
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2640
Mailing Address - Country:US
Mailing Address - Phone:908-210-7977
Mailing Address - Fax:973-846-3383
Practice Address - Street 1:34 MOUNTAIN BLVD
Practice Address - Street 2:BLDG A, SUITE 110
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2640
Practice Address - Country:US
Practice Address - Phone:908-210-7977
Practice Address - Fax:973-846-3383
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004605171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist