Provider Demographics
NPI:1295789766
Name:AN, YING (ACUPUNCTURIST)
Entity type:Individual
Prefix:PROF
First Name:YING
Middle Name:
Last Name:AN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:PROF
Other - First Name:FELICITY
Other - Middle Name:YING
Other - Last Name:AN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:505 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2190
Mailing Address - Country:US
Mailing Address - Phone:908-654-7304
Mailing Address - Fax:908-898-0313
Practice Address - Street 1:505 E BROAD ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2190
Practice Address - Country:US
Practice Address - Phone:908-654-7304
Practice Address - Fax:908-898-0313
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00016900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist