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Organization
NJ ACUPUNCTURE CENTER
Active
Organization
NJ ACUPUNCTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI BARAN LAC (OWNER)
(201) 668-0343
Entity
Organization
Contact information
Practice address
930 KENNEDY BLVD, BAYONNE, NJ 07002
(201) 668-0343
Mailing address
930 KENNEDY BLVD, BAYONNE, NJ 07002-1934
(201) 668-0343
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00119800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ00119800
LICENSE
NJ
Enumeration date
09/06/2018
Last updated
09/06/2018
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