Provider Demographics
NPI:1093284341
Name:PRESENT SAGE ACUPUNCTURE INC
Entity Type:Organization
Organization Name:PRESENT SAGE ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:FATIMAH
Authorized Official - Last Name:WEENING
Authorized Official - Suffix:
Authorized Official - Credentials:LAC DIPLAC
Authorized Official - Phone:215-680-2362
Mailing Address - Street 1:822 MONTGOMERY AVE STE 316
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1948
Mailing Address - Country:US
Mailing Address - Phone:215-680-2362
Mailing Address - Fax:
Practice Address - Street 1:822 MONTGOMERY AVE STE 316
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1948
Practice Address - Country:US
Practice Address - Phone:215-680-2362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty