Provider Demographics
NPI:1366249542
Name:GEN4 ACUPUNCTURE
Entity type:Organization
Organization Name:GEN4 ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:LI
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:267-346-8238
Mailing Address - Street 1:210 GREEN TREE TAVERN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1250
Mailing Address - Country:US
Mailing Address - Phone:267-346-8238
Mailing Address - Fax:
Practice Address - Street 1:809 N BETHLEHEM PIKE BLDG E3
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2558
Practice Address - Country:US
Practice Address - Phone:267-346-8238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty