# PREMIERMD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Medical Acupuncture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699978197
- **Authorized official:** DR. DAVID BOGUSLAVSKY M.D. (OWNER)
- **Authorized official phone:** (908) 450-7002

## Contact information

- **Practice address:** 757 ROUTE 202/206, BRIDGEWATER, NJ 08807-1763
- **Practice address phone:** (908) 450-7002
- **Practice address fax:** (732) 832-2601
- **Mailing address:** 757 ROUTE 202/206, BRIDGEWATER, NJ 08807-1763
- **Mailing address phone:** (908) 450-7002
- **Mailing address fax:** (732) 832-2601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | P-0227 | NJ | — |
| 207Q00000X | Family Medicine Physician | 25MA07932600 | NJ | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 09/16/2009