Healthcare Provider Details

I. General information

NPI: 1144878463
Provider Name (Legal Business Name): ACUNATOMY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18-01 POLLITT DR STE 3
FAIR LAWN NJ
07410-2816
US

IV. Provider business mailing address

18-01 POLLITT DR STE 3
FAIR LAWN NJ
07410-2816
US

V. Phone/Fax

Practice location:
  • Phone: 201-786-8060
  • Fax:
Mailing address:
  • Phone: 201-786-8060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: EUGENE OM BAEK
Title or Position: OWNER
Credential: L.AC
Phone: 201-786-8060