Provider Demographics
NPI:1750510749
Name:MORRIS, GALINA (LAC)
Entity Type:Individual
Prefix:
First Name:GALINA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:557 MOUNTAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07063-1753
Mailing Address - Country:US
Mailing Address - Phone:908-432-3963
Mailing Address - Fax:
Practice Address - Street 1:315 E NORTHFIELD RD STE 1D
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4800
Practice Address - Country:US
Practice Address - Phone:973-524-4045
Practice Address - Fax:973-629-1252
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00064300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist