Provider Demographics
NPI:1942461546
Name:LAW, JENNIFER T (LAC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:T
Last Name:LAW
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11 STATE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1300
Mailing Address - Country:US
Mailing Address - Phone:609-921-8980
Mailing Address - Fax:
Practice Address - Street 1:11 STATE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1300
Practice Address - Country:US
Practice Address - Phone:609-921-8980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00043900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist