MEDICARE: MARSHA ZELDIN HALPERT L. AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	25MZ00095300	NJ

General Provider Information

NPI Number	:	1679906796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA ZELDIN HALPERT L. AC.

Provider Business Mailing Address
First Line	:	1763 E 31ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4437
Country	:	US
Telephone Number	:	718-208-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 W MAIN ST
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-2463
Country	:	US
Telephone Number	:	718-208-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2013
Last Update Date	:	06/23/2014

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