Organization
MAYNARD CLINIC OF ACUPUNCTURE & ORIENTAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN WALDRON MAYNARD LAC (ACUPUNCTURIST)
(917) 941-5180
Entity
Organization
Contact information
Practice address
22 SYLVAN ST, SUITE 200, RUTHERFORD, NJ 07070-2087
(917) 941-5180
Mailing address
22 SYLVAN ST, SUITE 200, RUTHERFORD, NJ 07070-2087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
004865
NY
171100000X
Acupuncturist
Primary
25MZ00094000
NJ
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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