Provider Demographics
NPI:1134928401
Name:BENEVOLENT WELLNESS
Entity type:Organization
Organization Name:BENEVOLENT WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAIZHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-512-8493
Mailing Address - Street 1:191 WOODPORT RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2641
Mailing Address - Country:US
Mailing Address - Phone:973-512-8493
Mailing Address - Fax:833-668-3660
Practice Address - Street 1:191 WOODPORT RD STE 202
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2641
Practice Address - Country:US
Practice Address - Phone:973-512-8493
Practice Address - Fax:833-668-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty