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NPI Code Detail

MEDICARE: MISS GREER ALAINA GARTENBERG NJ LAC

MEDICARE: MISS GREER ALAINA GARTENBERG NJ LAC
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
1171100000XAcupuncturist25MZ00134300NJ

General Provider Information

NPI Number : 1891266078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GREER ALAINA GARTENBERG NJ LAC
Provider Business Mailing Address
First Line : 12 UNDERCLIFF RD
Second Line :
City : KINNELON
State : NJ
Zip : 07405-2175
Country : US
Telephone Number : 973-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 271 GROVE AVE STE C
Second Line :
City : VERONA
State : NJ
Zip : 07044-1729
Country : US
Telephone Number : 201-340-4846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/16/2018

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