Provider Demographics
NPI:1265882427
Name:ORIENTAL HEALTHCARE AND ACUPUNCTURE LLC
Entity type:Organization
Organization Name:ORIENTAL HEALTHCARE AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUNSHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-584-4848
Mailing Address - Street 1:410 STATE ROUTE 10 BLDG 201
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-9600
Mailing Address - Country:US
Mailing Address - Phone:973-584-4848
Mailing Address - Fax:908-577-5279
Practice Address - Street 1:410 STATE ROUTE 10 BLDG 201
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-9600
Practice Address - Country:US
Practice Address - Phone:973-584-4848
Practice Address - Fax:908-577-5279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00105800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty