Organization
MICHAEL RUBCICH FOUR GATES ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUBCICH DR (DOCTOR/OWNER)
(856) 228-1330
Entity
Organization
Contact information
Practice address
202A KINGS WAY W, SEWELL, NJ 08080-2200
(856) 228-1330
(856) 228-4322
Mailing address
805 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2813
(856) 228-1330
(856) 228-4322
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
25MZ00041700
NJ
261QM2500X
Medical Specialty Clinic/Center
Primary
38MC00597500
NJ
Other
Enumeration date
11/17/2009
Last updated
08/01/2024
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