# MICHAEL RUBCICH FOUR GATES ACUPUNCTURE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477880193
- **Authorized official:** MICHAEL RUBCICH DR (DOCTOR/OWNER)
- **Authorized official phone:** (856) 228-1330

## Contact information

- **Practice address:** 202A KINGS WAY W, SEWELL, NJ 08080-2200
- **Practice address phone:** (856) 228-1330
- **Practice address fax:** (856) 228-4322
- **Mailing address:** 805 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2813
- **Mailing address phone:** (856) 228-1330
- **Mailing address fax:** (856) 228-4322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MZ00041700 | NJ | — |
| 261QM2500X | Medical Specialty Clinic/Center | 38MC00597500 | NJ | Yes |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 08/01/2024