Provider Demographics
NPI:1871174540
Name:NEC ACUPUNCTURE P.C
Entity type:Organization
Organization Name:NEC ACUPUNCTURE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:NAEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:201-613-5599
Mailing Address - Street 1:232 BROAD AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1577
Mailing Address - Country:US
Mailing Address - Phone:201-613-5599
Mailing Address - Fax:201-710-7599
Practice Address - Street 1:232 BROAD AVE.
Practice Address - Street 2:#203
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1577
Practice Address - Country:US
Practice Address - Phone:201-613-5599
Practice Address - Fax:201-710-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MZ00151800OtherDIVISION OF CONSUMER AFFAIRS