Healthcare Provider Details

I. General information

NPI: 1083142863
Provider Name (Legal Business Name): ACUWORX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 CHRISTOPHER COLUMBUS DR # 3A
JERSEY CITY NJ
07302-3432
US

IV. Provider business mailing address

190 CHRISTOPHER COLUMBUS DR # 3A
JERSEY CITY NJ
07302-3432
US

V. Phone/Fax

Practice location:
  • Phone: 201-724-3998
  • Fax:
Mailing address:
  • Phone: 201-724-3998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00020000
License Number StateNJ

VIII. Authorized Official

Name: PANOS IOANNOU
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 201-724-3998