Healthcare Provider Details

I. General information

NPI: 1023330420
Provider Name (Legal Business Name): CENTER FOR HOLISTIC & ORIENTAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 02/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 MORRIS AVE
ELIZABETH NJ
07208-3609
US

IV. Provider business mailing address

25 KILMER DR
MORGANVILLE NJ
07751-1564
US

V. Phone/Fax

Practice location:
  • Phone: 908-289-5336
  • Fax:
Mailing address:
  • Phone: 732-740-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00038500
License Number StateNJ

VIII. Authorized Official

Name: MRS. IRINA ROYTMAN
Title or Position: OWNER
Credential: L.AC
Phone: 732-740-7709