Provider Demographics
NPI:1225388655
Name:WELLNESS ACUPUNCTURE STUDIO INC.
Entity Type:Organization
Organization Name:WELLNESS ACUPUNCTURE STUDIO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASANGKAY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-388-7339
Mailing Address - Street 1:159 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1858
Mailing Address - Country:US
Mailing Address - Phone:201-388-7339
Mailing Address - Fax:
Practice Address - Street 1:159 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:LITTLE FERRY
Practice Address - State:NJ
Practice Address - Zip Code:07643-1858
Practice Address - Country:US
Practice Address - Phone:201-388-7339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty