Provider Demographics
NPI:1659793909
Name:SHIAOMEI WEINGARTEN
Entity Type:Organization
Organization Name:SHIAOMEI WEINGARTEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIAOMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:732-742-7446
Mailing Address - Street 1:33 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1622
Mailing Address - Country:US
Mailing Address - Phone:732-742-7446
Mailing Address - Fax:
Practice Address - Street 1:33 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1622
Practice Address - Country:US
Practice Address - Phone:732-742-7446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00026600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty