Organization
ACTIVE ACUPUNCTURE NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER VICCARO BALESTRIERI L.AC. (ACUPUNCTURIST/OWNER)
(201) 956-2516
Entity
Organization
Contact information
Practice address
146 CHESTNUT RIDGE RD, SADDLE RIVER, NJ 07458-2821
(201) 956-2516
Mailing address
155 GARDEN AVE, PARAMUS, NJ 07652-1918
(201) 956-2516
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194903872
HEATHER VICCARO BALESTRIERI
NJ
Enumeration date
05/03/2019
Last updated
05/03/2019
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