Provider Demographics
NPI:1972737831
Name:NIU, HUIJUN (AP)
Entity Type:Individual
Prefix:
First Name:HUIJUN
Middle Name:
Last Name:NIU
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 N FEDERAL HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1631
Mailing Address - Country:US
Mailing Address - Phone:561-998-0309
Mailing Address - Fax:561-372-0316
Practice Address - Street 1:7300 N FEDERAL HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1631
Practice Address - Country:US
Practice Address - Phone:561-998-0309
Practice Address - Fax:561-372-0316
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2030171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist