Provider Demographics
NPI:1598220766
Name:ACA ACUPUNCTURE ENGLEWOOD PC
Entity Type:Organization
Organization Name:ACA ACUPUNCTURE ENGLEWOOD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JING
Authorized Official - Middle Name:
Authorized Official - Last Name:DONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-565-4819
Mailing Address - Street 1:214 ENGLE ST STE G2
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2418
Mailing Address - Country:US
Mailing Address - Phone:201-408-5633
Mailing Address - Fax:
Practice Address - Street 1:214 ENGLE ST STE G2
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2418
Practice Address - Country:US
Practice Address - Phone:201-408-5633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty