Provider Demographics
NPI:1235476953
Name:HEALTHY BODY ACUPUNCTURE
Entity Type:Organization
Organization Name:HEALTHY BODY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZSUZSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBROCI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OM, L,AC DIPL OM
Authorized Official - Phone:917-686-6669
Mailing Address - Street 1:2 BRISTEL RD
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2717
Mailing Address - Country:US
Mailing Address - Phone:917-686-6669
Mailing Address - Fax:
Practice Address - Street 1:761 PALMER AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1086
Practice Address - Country:US
Practice Address - Phone:917-686-6669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00066800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty