Organization
EQUILIBRIUM ACUPUNCTURE OF MONTCLAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH VAPHIDES LAC (OWNER)
(973) 873-0017
Entity
Organization
Contact information
Practice address
33 PLYMOUTH ST STE 107, MONTCLAIR, NJ 07042-2677
(973) 873-0017
Mailing address
33 PLYMOUTH ST STE 107, MONTCLAIR, NJ 07042-2677
(973) 873-0017
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ00056900
LICENSED ACUPUNCTURIST
NJ
Enumeration date
10/04/2022
Last updated
10/04/2022
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