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Organization
THE CENTER FOR ACUPUNCTURE & MIND-BODY HEALTH
Active
Organization
THE CENTER FOR ACUPUNCTURE & MIND-BODY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTHANN RUSSO LAC (EXECUTIVE DIRECTOR)
(484) 357-7899
Entity
Organization
Contact information
Practice address
2006 ROUTE 71, SUITE 2, SPRING LAKE, NJ 07762-2273
(484) 357-7899
Mailing address
2006 ROUTE 71, SUITE 2, SPRING LAKE, NJ 07762-2273
(484) 357-7899
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00093300
NJ
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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