Healthcare Provider Details

I. General information

NPI: 1568376622
Provider Name (Legal Business Name): A TRANQUIL WELLNESS CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 BERGEN BLVD SUITE 01
RIDGEFIELD NJ
07657
US

IV. Provider business mailing address

685 BERGEN BLVD SUITE 01
RIDGEFIELD NJ
07657
US

V. Phone/Fax

Practice location:
  • Phone: 201-448-0447
  • Fax: 866-461-8194
Mailing address:
  • Phone: 201-448-0447
  • Fax: 866-461-8194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ANGELA PIZON
Title or Position: OWNER
Credential:
Phone: 201-448-0447