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Organization
ANCIENT & MODERN ACUPUNCTURE P.C.
Active
Organization
ANCIENT & MODERN ACUPUNCTURE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENIY VOLOSHCHUK LAC (ACUPUNCTURIST)
(917) 658-0152
Entity
Organization
Contact information
Practice address
75 SMITH ST, PERTH AMBOY, NJ 08861-4413
(732) 442-5542
(732) 442-5568
Mailing address
75 SMITH ST, PERTH AMBOY, NJ 08861-4413
(732) 442-5542
(732) 442-5568
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
25MZ00087900
NJ
Other
Enumeration date
09/30/2014
Last updated
12/22/2014
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