Provider Demographics
NPI:1386969368
Name:OPTIMUM ACUPUNCTURE, P.C.
Entity type:Organization
Organization Name:OPTIMUM ACUPUNCTURE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHUNYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TENG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-642-0300
Mailing Address - Street 1:9-25 ALLING STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102
Mailing Address - Country:US
Mailing Address - Phone:973-642-0300
Mailing Address - Fax:973-642-0203
Practice Address - Street 1:9-25 ALLING STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102
Practice Address - Country:US
Practice Address - Phone:973-642-0300
Practice Address - Fax:973-642-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00012700171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty