Provider Demographics
NPI:1336691690
Name:ACA ACUPUNCTURE NJ GROUP
Entity Type:Organization
Organization Name:ACA ACUPUNCTURE NJ GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LU
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-515-9889
Mailing Address - Street 1:2 LINCOLN HWY
Mailing Address - Street 2:SUITE 311A
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3961
Mailing Address - Country:US
Mailing Address - Phone:732-515-9889
Mailing Address - Fax:732-515-9890
Practice Address - Street 1:2 LINCOLN HWY
Practice Address - Street 2:SUITE 311A
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3961
Practice Address - Country:US
Practice Address - Phone:732-515-9889
Practice Address - Fax:732-515-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty