Organization
ORGANIQUE LLC
Active
Other names
Organique Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA SORVILLO L.AC., MSOM, LOBT (OWNER)
(973) 491-0022
Entity
Organization
Contact information
Practice address
140 WILSON AVE, NEWARK, NJ 07105-3326
(973) 491-0022
(973) 368-2287
Mailing address
140 WILSON AVE, NEWARK, NJ 07105-3326
(973) 491-0022
(973) 368-2287
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00052800
NJ
171100000X
Acupuncturist
AP 1723
FL
225700000X
Massage Therapist
26BT00029800
NJ
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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