Provider Demographics
NPI:1417202185
Name:ALTERNATIVE BODYWORKS LLC
Entity Type:Organization
Organization Name:ALTERNATIVE BODYWORKS LLC
Other - Org Name:ALTERNATIVE BODYWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GIORDANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-370-3239
Mailing Address - Street 1:532 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2762
Mailing Address - Country:US
Mailing Address - Phone:973-932-3151
Mailing Address - Fax:
Practice Address - Street 1:532 BROAD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2762
Practice Address - Country:US
Practice Address - Phone:973-932-3151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty