Provider Demographics
NPI:1942601463
Name:ACUPUNCTURE SPECIALISTS
Entity Type:Organization
Organization Name:ACUPUNCTURE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HISHAM
Authorized Official - Middle Name:IBRAHIM
Authorized Official - Last Name:AMER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:605-638-0489
Mailing Address - Street 1:102 BROWNING LN
Mailing Address - Street 2:BUILDING A, SUITE 1B
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3195
Mailing Address - Country:US
Mailing Address - Phone:856-528-2678
Mailing Address - Fax:856-528-2938
Practice Address - Street 1:102 BROWNING LN
Practice Address - Street 2:BUILDING A, SUITE 1B
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3195
Practice Address - Country:US
Practice Address - Phone:856-528-2678
Practice Address - Fax:856-528-2938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00083300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty