Provider Demographics
NPI:1578277539
Name:EAST WEST INTEGRATIVE ACUPUNCTURE
Entity Type:Organization
Organization Name:EAST WEST INTEGRATIVE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DAC, LAC, DIPL AC
Authorized Official - Phone:908-883-0084
Mailing Address - Street 1:84 PARK AVE STE E105
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1175
Mailing Address - Country:US
Mailing Address - Phone:908-883-0084
Mailing Address - Fax:
Practice Address - Street 1:84 PARK AVE STE E105
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1175
Practice Address - Country:US
Practice Address - Phone:908-883-0084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty