Provider Demographics
NPI:1457699480
Name:TAO CLINIC OF ACUPUNCTURE
Entity Type:Organization
Organization Name:TAO CLINIC OF ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-802-6888
Mailing Address - Street 1:999 ROUTE 73 N STE 200
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1227
Mailing Address - Country:US
Mailing Address - Phone:856-802-6888
Mailing Address - Fax:856-802-6878
Practice Address - Street 1:999 ROUTE 73 N STE 200
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1227
Practice Address - Country:US
Practice Address - Phone:856-802-6888
Practice Address - Fax:856-802-6878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty