Provider Demographics
NPI:1235519463
Name:ACUPUNCTURE @ FIT LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE @ FIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELDUFF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-974-3250
Mailing Address - Street 1:2164 HIGHWAY 35
Mailing Address - Street 2:BLDG C, SUITE 14
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1013
Mailing Address - Country:US
Mailing Address - Phone:732-974-3250
Mailing Address - Fax:732-974-9661
Practice Address - Street 1:2164 HIGHWAY 35
Practice Address - Street 2:BLDG C, SUITE 14
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1013
Practice Address - Country:US
Practice Address - Phone:732-974-3250
Practice Address - Fax:732-974-9661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00080800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty