Provider Demographics
NPI:1275031387
Name:ESSEX ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:ESSEX ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-509-8300
Mailing Address - Street 1:50 CHURCH ST STE L10
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2745
Mailing Address - Country:US
Mailing Address - Phone:973-509-8300
Mailing Address - Fax:
Practice Address - Street 1:50 CHURCH ST STE L10
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2745
Practice Address - Country:US
Practice Address - Phone:973-509-8300
Practice Address - Fax:973-509-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00091900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty