Healthcare Provider Details

I. General information

NPI: 1487395265
Provider Name (Legal Business Name): SCALAR NATURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 CLAREMONT RD
FORT LEE NJ
07024-6331
US

IV. Provider business mailing address

52 CLAREMONT RD
FORT LEE NJ
07024-6331
US

V. Phone/Fax

Practice location:
  • Phone: 201-341-7848
  • Fax:
Mailing address:
  • Phone: 201-341-7848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID S PARK
Title or Position: PRESIDENT
Credential: LAC. DIPLOM.
Phone: 201-341-7848