Healthcare Provider Details
I. General information
NPI: 1801514534
Provider Name (Legal Business Name): TOWNSHIP ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2022
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
285 PASCACK RD STE 4
TOWNSHIP OF WASHINGTON NJ
07676-4841
US
IV. Provider business mailing address
285 PASCACK RD STE 4
TOWNSHIP OF WASHINGTON NJ
07676-4841
US
V. Phone/Fax
- Phone: 201-788-0394
- Fax:
- Phone: 201-788-0394
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
ONEILL
Title or Position: OWNER
Credential: L.AC.
Phone: 201-788-0394