Provider Demographics
NPI:1124323092
Name:RIAO, JULIA PEI-JU (LAC)
Entity type:Individual
Prefix:MS
First Name:JULIA PEI-JU
Middle Name:
Last Name:RIAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E MAIN ST STE 11
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2171
Mailing Address - Country:US
Mailing Address - Phone:973-586-8888
Mailing Address - Fax:973-586-4372
Practice Address - Street 1:1259 ROUTE 46 EAST
Practice Address - Street 2:BUILDING 3
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-402-8535
Practice Address - Fax:973-586-4372
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00040600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist