Provider Demographics
NPI:1164924239
Name:VMG ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:VMG ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUINET
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:908-892-3148
Mailing Address - Street 1:744 AMWELL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-3221
Mailing Address - Country:US
Mailing Address - Phone:908-892-3148
Mailing Address - Fax:
Practice Address - Street 1:390 AMWELL RD STE 503
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1248
Practice Address - Country:US
Practice Address - Phone:908-892-3148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
NJ171100000X
NJ25MZ00062400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty