Healthcare Provider Details

I. General information

NPI: 1336691690
Provider Name (Legal Business Name): ACA ACUPUNCTURE NJ GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2016
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LINCOLN HWY SUITE 311A
EDISON NJ
08820-3961
US

IV. Provider business mailing address

2 LINCOLN HWY SUITE 311A
EDISON NJ
08820-3961
US

V. Phone/Fax

Practice location:
  • Phone: 732-515-9889
  • Fax: 732-515-9890
Mailing address:
  • Phone: 732-515-9889
  • Fax: 732-515-9890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. LU HAN
Title or Position: CEO
Credential:
Phone: 732-515-9889