# SPINE AND SPORTS ACUPUNCTURE, LLC

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

## Provider details

- **NPI number:** 1932477593
- **Authorized official:** DR. PETER PONZINI (OWNER)
- **Authorized official phone:** (201) 447-0346

## Contact information

- **Practice address:** 197 E FRANKLIN TPKE, HO HO KUS, NJ 07423-1553
- **Practice address phone:** (201) 447-0346
- **Mailing address:** 197 E FRANKLIN TPKE, HO HO KUS, NJ 07423-1553
- **Mailing address phone:** (201) 447-0346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NJ | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 04/13/2012