Provider Demographics
NPI:1629368428
Name:ACUPUNCTURE WORKS CENTER
Entity Type:Organization
Organization Name:ACUPUNCTURE WORKS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-979-1652
Mailing Address - Street 1:999 TABOR RD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2763
Mailing Address - Country:US
Mailing Address - Phone:973-979-1652
Mailing Address - Fax:973-267-1777
Practice Address - Street 1:999 TABOR RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2763
Practice Address - Country:US
Practice Address - Phone:973-979-1652
Practice Address - Fax:973-267-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00021800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty