Individual
NICO GLADFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
31 WHITE SWAN WAY, BRICK, NJ 08723-6285
(760) 846-2873
Mailing address
31 WHITE SWAN WAY, BRICK, NJ 08723-6285
(732) 965-2016
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00074100
NJ
171100000X
Acupuncturist
AC12575
CA
Other
Enumeration date
11/17/2008
Last updated
03/25/2010
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