Provider Demographics
NPI:1629250907
Name:ZHONG-ARDITO, YANQUN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:YANQUN
Middle Name:
Last Name:ZHONG-ARDITO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 ROUTE 70 E
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2231
Mailing Address - Country:US
Mailing Address - Phone:856-429-1055
Mailing Address - Fax:856-429-1168
Practice Address - Street 1:1435 ROUTE 70 E
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2231
Practice Address - Country:US
Practice Address - Phone:856-429-1055
Practice Address - Fax:856-429-1168
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00042900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist