Provider Demographics
NPI:1740756444
Name:THREE TREASURES ACUPUNCTURE OF NEW JERSEY, LLC
Entity Type:Organization
Organization Name:THREE TREASURES ACUPUNCTURE OF NEW JERSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEONSOOK
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR & ACUPUNCTURE
Authorized Official - Phone:973-896-9601
Mailing Address - Street 1:54 SHAWNEE TRAIL
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871
Mailing Address - Country:US
Mailing Address - Phone:973-896-9601
Mailing Address - Fax:973-729-6515
Practice Address - Street 1:43 MAIN STREET SUITE 102
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871
Practice Address - Country:US
Practice Address - Phone:973-512-3333
Practice Address - Fax:973-512-3333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THREE TREASURES ACUPUNCTURE OF NEW JERSEY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-19
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty