Provider Demographics
NPI:1497104665
Name:CURA ACUSPA, INC.
Entity Type:Organization
Organization Name:CURA ACUSPA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SO
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-471-8814
Mailing Address - Street 1:28 W LANCASTER AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1311
Mailing Address - Country:US
Mailing Address - Phone:267-471-8814
Mailing Address - Fax:
Practice Address - Street 1:28 W LANCASTER AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1311
Practice Address - Country:US
Practice Address - Phone:267-471-8814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty