Provider Demographics
NPI:1770142275
Name:ACUPUNCTURE AND QI
Entity type:Organization
Organization Name:ACUPUNCTURE AND QI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-855-6045
Mailing Address - Street 1:100 PARK PLAZA DR APT 1632
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3645
Mailing Address - Country:US
Mailing Address - Phone:201-855-6045
Mailing Address - Fax:
Practice Address - Street 1:1321 PATERSON PLANK RD
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-3745
Practice Address - Country:US
Practice Address - Phone:201-855-6045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-08
Last Update Date:2019-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty