Organization
PREMIERMD
Active
Other names
Premier Medical Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOGUSLAVSKY M.D. (OWNER)
(908) 450-7002
Entity
Organization
Contact information
Practice address
757 ROUTE 202/206, BRIDGEWATER, NJ 08807-1763
(908) 450-7002
(732) 832-2601
Mailing address
757 ROUTE 202/206, BRIDGEWATER, NJ 08807-1763
(908) 450-7002
(732) 832-2601
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
P-0227
NJ
207Q00000X
Family Medicine Physician
Primary
25MA07932600
NJ
Other
Enumeration date
06/11/2007
Last updated
09/16/2009
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