Provider Demographics
NPI:1902380546
Name:TAO & ZEN ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:TAO & ZEN ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUCK
Authorized Official - Suffix:
Authorized Official - Credentials:DAC, LAC
Authorized Official - Phone:732-718-1765
Mailing Address - Street 1:1055 ROUTE 34 STE B
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2192
Mailing Address - Country:US
Mailing Address - Phone:732-718-1765
Mailing Address - Fax:732-441-9555
Practice Address - Street 1:169 MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-4105
Practice Address - Country:US
Practice Address - Phone:732-718-1765
Practice Address - Fax:732-441-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty