Provider Demographics
NPI:1477983641
Name:ADAMCZYK, ARTHUR J (L AC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:J
Last Name:ADAMCZYK
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ROUTE 71
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3025
Mailing Address - Country:US
Mailing Address - Phone:732-528-4466
Mailing Address - Fax:
Practice Address - Street 1:23 ROUTE 71
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-3025
Practice Address - Country:US
Practice Address - Phone:732-528-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00103600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist