Provider Demographics
NPI:1699189084
Name:ACUCENTER
Entity Type:Organization
Organization Name:ACUCENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYUNG HEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-840-4130
Mailing Address - Street 1:709 BERGEN BLVD
Mailing Address - Street 2:FL 2
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-1431
Mailing Address - Country:US
Mailing Address - Phone:201-840-4130
Mailing Address - Fax:201-840-8907
Practice Address - Street 1:709 BERGEN BLVD
Practice Address - Street 2:FL 2
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-1431
Practice Address - Country:US
Practice Address - Phone:201-840-4130
Practice Address - Fax:201-840-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00028000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty