Organization
NORTHEASTERN ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNET MOLINA-MANTEIGA (OWNER)
(201) 388-0535
Entity
Organization
Contact information
Practice address
579 BERGEN BLVD, RIDGEFIELD, NJ 07657-2032
(201) 388-0535
Mailing address
409 JOHNED RD, NORTHVALE, NJ 07647-1111
(201) 388-0535
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00067300
NJ
Other
Enumeration date
10/09/2007
Last updated
07/28/2009
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