Provider Demographics
NPI:1376199885
Name:TOP WELLNESS CENTER
Entity Type:Organization
Organization Name:TOP WELLNESS CENTER
Other - Org Name:NATURE ACUPUNCTURE & HERBS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MINSEONG
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:L,AC
Authorized Official - Phone:732-540-0858
Mailing Address - Street 1:725 RIVER RD STE 117
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1170
Mailing Address - Country:US
Mailing Address - Phone:201-945-2828
Mailing Address - Fax:201-945-2838
Practice Address - Street 1:725 RIVER RD STE 117
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1170
Practice Address - Country:US
Practice Address - Phone:201-945-2828
Practice Address - Fax:201-945-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty