Provider Demographics
NPI:1497905426
Name:ANGERSBACH, MELISSA (DIPL AC, CA)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:ANGERSBACH
Suffix:
Gender:F
Credentials:DIPL AC, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4672
Mailing Address - Country:US
Mailing Address - Phone:732-414-9423
Mailing Address - Fax:
Practice Address - Street 1:2116 SUNSET AVE
Practice Address - Street 2:SUITE B
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4672
Practice Address - Country:US
Practice Address - Phone:732-414-9423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00064500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist