Provider Demographics
NPI:1649717133
Name:YOU, MING (LAC)
Entity type:Individual
Prefix:MR
First Name:MING
Middle Name:
Last Name:YOU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ANGELO CT
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2048
Mailing Address - Country:US
Mailing Address - Phone:609-558-9276
Mailing Address - Fax:609-750-9779
Practice Address - Street 1:12 ANGELO CT
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-2048
Practice Address - Country:US
Practice Address - Phone:609-558-9276
Practice Address - Fax:609-750-9779
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00124500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist