Provider Demographics
NPI:1962036988
Name:IN ACUPUNCTURE & WELLNESS PC
Entity Type:Organization
Organization Name:IN ACUPUNCTURE & WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAEGYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PT, LAC
Authorized Official - Phone:732-372-0225
Mailing Address - Street 1:1581 ROUTE 27 STE 4
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3477
Mailing Address - Country:US
Mailing Address - Phone:732-372-0225
Mailing Address - Fax:
Practice Address - Street 1:1581 ROUTE 27 STE 4
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3477
Practice Address - Country:US
Practice Address - Phone:732-372-0225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty