Individual
MR. PHIL VENEZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. L.AC.
Contact information
Practice address
150 MORRIS AVE STE 305, SPRINGFIELD, NJ 07081-1329
(917) 210-1063
Mailing address
20 MOUNTAIN AVE, MAPLEWOOD, NJ 07040-2542
(917) 210-1063
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00123600
NJ
171100000X
Acupuncturist
3981
NY
Other
Enumeration date
07/06/2009
Last updated
06/03/2024
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