Provider Demographics
NPI:1780024042
Name:TAO INTEGRATIVE ACUPUNCTURE
Entity type:Organization
Organization Name:TAO INTEGRATIVE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JINGDUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-219-8745
Mailing Address - Street 1:14 S BRYN MAWR AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3216
Mailing Address - Country:US
Mailing Address - Phone:610-520-1128
Mailing Address - Fax:610-520-1331
Practice Address - Street 1:14 S BRYN MAWR AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3216
Practice Address - Country:US
Practice Address - Phone:610-520-1128
Practice Address - Fax:610-520-1331
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAO INTEGRATIVE MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000114171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty