Organization
ACUPUNCTURE FOR REHABILITATION AND HOLISTIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD IZRAILOV MHS,MA,LAC DIPNCCAOM (PRESIDENT)
(973) 303-0758
Entity
Organization
Contact information
Practice address
1861 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2954
(973) 303-0758
Mailing address
23 N RIDGE RD, LIVINGSTON, NJ 07039-1238
(973) 303-0758
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
25MZ00050400
NJ
Other
Enumeration date
03/20/2007
Last updated
06/13/2011
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