Provider Demographics
NPI:1336371293
Name:ACUPUNCTURE AND HEALTH CLINIC
Entity Type:Organization
Organization Name:ACUPUNCTURE AND HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YING
Authorized Official - Middle Name:F
Authorized Official - Last Name:AN
Authorized Official - Suffix:
Authorized Official - Credentials:C A
Authorized Official - Phone:908-654-7304
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00016900261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center