# PENICK INTEGRATIVE ACUPUNCTURE

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

## Provider details

- **NPI number:** 1790334555
- **Authorized official:** MRS. CHALIYAH PENICK M.AC., L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (856) 534-6282

## Contact information

- **Practice address:** 521 ERIAL RD, PINE HILL, NJ 08021-6301
- **Practice address phone:** (856) 534-6282
- **Practice address fax:** (856) 627-4556
- **Mailing address:** 521 ERIAL RD, PINE HILL, NJ 08021-6301
- **Mailing address phone:** (856) 534-6282
- **Mailing address fax:** (856) 627-4556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2019
- **Last updated:** 02/13/2020