Healthcare Provider Details

I. General information

NPI: 1174066252
Provider Name (Legal Business Name): JACLYN REICH-FALBER DACM, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 FRANKLIN CORNER RD
LAWRENCEVILLE NJ
08648-2586
US

IV. Provider business mailing address

136 FRANKLIN CORNER RD STE 110
LAWRENCEVILLE NJ
08648-2586
US

V. Phone/Fax

Practice location:
  • Phone: 609-912-0440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: