# NJ ACUPUNCTURE CENTER

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

## Provider details

- **NPI number:** 1790267672
- **Authorized official:** ANI BARAN LAC (OWNER)
- **Authorized official phone:** (201) 668-0343

## Contact information

- **Practice address:** 930 KENNEDY BLVD, BAYONNE, NJ 07002
- **Practice address phone:** (201) 668-0343
- **Mailing address:** 930 KENNEDY BLVD, BAYONNE, NJ 07002-1934
- **Mailing address phone:** (201) 668-0343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 25MZ00119800 | NJ | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 09/06/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25MZ00119800 | LICENSE | NJ |