Healthcare Provider Details

I. General information

NPI: 1730636085
Provider Name (Legal Business Name): JOYCE C KAWALCHUK L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2016
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4446 ROUTE 27 STE 8
KINGSTON NJ
08528-9613
US

IV. Provider business mailing address

4446 ROUTE 27 STE 8
KINGSTON NJ
08528-9613
US

V. Phone/Fax

Practice location:
  • Phone: 609-285-3378
  • Fax:
Mailing address:
  • Phone: 609-285-3378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00119400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: