Provider Demographics
NPI:1811340532
Name:A. M. ACUPUNCTURE, LLC
Entity type:Organization
Organization Name:A. M. ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINESCU
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:570-409-7990
Mailing Address - Street 1:322 BROAD STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-1360
Mailing Address - Country:US
Mailing Address - Phone:570-409-7990
Mailing Address - Fax:570-409-7995
Practice Address - Street 1:322 BROAD STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1360
Practice Address - Country:US
Practice Address - Phone:570-409-7990
Practice Address - Fax:570-409-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty